| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not follow documented processes for all activities such as failed medicines deliveries and the management of controlled drugs. |
The staff should be following the sop,s and have been instructed to comply. |
19/12/2019 | 16/12/2019 |
| 2.1 | The pharmacy does not have enough team members to safely deliver its services and undertake all necessary tasks. |
The pharmacy has adequate staff numbers in relation to the level of dispensing it achieves. There has not been any significant increase in dispensing and staffing has been increased over last 6 months despite this. |
19/12/2019 | 16/12/2019 |
| 4.2 | The pharmacy does not manage all instalment dispensing safely including multi-compartment compliance packs and serial prescriptions. |
The staff have been reminded on the importance of managing work to ensure dosset boxes are completed in time prior to them going out. Owings – Staff have been reminded that this is part of their job and must be complied with. Relief managers and staff have been reminded to action any balances in a timely manner. 28/11/2019 Instalment prescriptions – We now have in place staff/Pharmacist makeup instalments and place in designated area. On any given day the instalments due for collection are taken from designated area onto the dispensary working bench. At end of day/week staff/pharmacist can clearly see what has not been collected and action accordingly. |
19/12/2019 | 16/12/2019 |
| 4.3 | The pharmacy does not store all medicines appropriately with date expired medicines and prescriptions available for supply. This includes a medicine that was identified date expired three years previously. |
Date checking is to be done on a Saturday when dispensary is quieter. 28/11/2019 Out of date CD prescription – Pharmacists have been reminded to check all CD prescriptions are in date prior to dispensing and action if any issues. 27th November 2019 We also do a stock take every 6 months and items out of date or near to expiry date are highlighted at that point also. |
19/12/2019 | 16/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections