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Pharmacy inspections

Inspection reports and learning from inspections

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Houston Pharmacy (1041711) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.2

The pharmacy does not monitor and review dispensing accuracy. So it cannot learn from mistakes and make improvements.

Near Miss Log on CDRx to be completed at time of incident after informing dispenser of error. This will be reviewed monthly for any patterns and discussed with the dispensary team.

22/11/2019 22/11/2019
1.7

The pharmacy does not dispose of all person identifiable information securely. It places some dispensing labels in general waste.

Labels removed from methadone cups after consumption and attached to A4 paper for shredding daily.

22/11/2019 22/11/2019
1.8

The pharmacy team members do not know how to protect vulnerable people. Or how to raise concerns about vulnerable people.

Phone number for Tayside Public Protection Unit (PPU) – Social Work entered in address book and highlighted to staff. This phone number is applicable to both vulnerable adults and child protection and is available 24/7. NES Child Protection module available.

22/11/2019 22/11/2019
4.3

The pharmacy does not store, supply or dispose of all medicines appropriately.

Methameasure cabinet keys have been attached to CD keys and staff advised to lock cabinet at all times.
No methadone is to be pre-poured, only poured in presence of patient.
Methadone labels are to be initialled prior to being placed on cup, firmly and accurately.
Ask patient to confirm details on label, confirming dose with patient.
Encourage patient to have a drink of water to ensure full dose is consumed.
When we have to use 500ml methadone bottles, a dispensing label will be placed on 2.5l bottle stating the make, batch number and expiry date of the methadone added, to be replaced when different batch is added.

22/11/2019 22/11/2019