| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy team does not follow standard operating procedures for all processes. |
All SOP’s being reviewed by myself, will be signed off by staff members all will remain an open document |
03/01/2020 | 16/12/2019 |
| 1.2 | The pharmacy does not record errors identified in the pharmacy. So team members cannot learn from them. And they do not make changes to avoid the same mistakes happening again. |
Error log book now in use, different member of staff assess data collected at end of month. |
03/01/2020 | 16/12/2019 |
| 2.2 | Some part-time team members have not had training in line with GPhC minimum standards. And team members do not undertake ongoing training or development to ensure they are knowledgeable about the services the pharmacy delivers. |
All enrolled with Buttercups. |
03/01/2020 | 19/12/2019 |
| 4.2 | The pharmacy does not deliver all services safely due to team members not following SOPs, inadequate dispensing audit trails, and pharmacists having insufficient information to carry out clinical assessments. |
SOP’s being followed with audit trail. Speaking with my colleagues (January) as to how to have more clinical information (greatest challenge as do not have a comprehensive data base of all meds due to patients getting meds at particularly HC pharmacy) |
03/01/2020 | 16/12/2019 |
| 4.3 | The pharmacy does not always supply medicines safely as team members are not aware of some patient safety initiatives and date expired medicines are available for supply. The pharmacy does not have a wholesale dealer's licence but wholesales medicines to ships. |
Checking matrix being used, sodium valproate cards obtained. No longer involved in supply of medicine chests |
03/01/2020 | 16/12/2019 |
| 5.2 | The pharmacy does not calibrate equipment and diagnostic test strips are out of date. |
New meters obtained for free service |
03/01/2020 | 17/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections