| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not identify all the risks associated with implementing a new operating system. And it has not put sufficient safety measures into place to maintain safe and effective working practices. |
Staff to be trained on SaferCare process and on the near miss process. All near misses to be recorded in full and in a timely manner. SaferCare to be completed weekly as per company process. Near misses and patient safety incidents to be reviewed as part of monthly SaferCare process and reviewed with the whole team as a SaferCare briefing to ensure learning opportunities are shared. If there are any risks identified during completion of SaferCare and Near Miss, these concerns are raised appropriately to Regional Manager LS “live” checklist to be completed for each colleague. |
31/08/2022 | 31/08/2022 |
| 1.6 | The pharmacy does not have robust processes to maintain the legal records it needs to by law, primarily the responsible pharmacist record using the new operating system. |
Responsible Pharmacist to log into legal RP record daily. Pharmacy Manager to ensure completion of this.
|
31/08/2022 | 31/08/2022 |
| 2.1 | The pharmacy team struggles to manage the workload and at the same time acquire new skills to use the updated computer system effectively. This impacts on the pharmacy team's capacity to provide pharmacy services safely and effectively. |
Review of CDS workload with additional patients to be sent to offsite dispensing CDS Hub to support with workload within the pharmacy. Electronic training modules for LS to be completed by inexperienced LS colleague.
Swap of experienced LS trained colleagues to support with training. |
31/08/2022 | 31/08/2022 |
| 3.1 | The pharmacy has insufficient storage space for the medicines it has in stock. This is partly due to a lack of experience and understanding about the new pharmacy operating system. The floor is congested with overflow stock and other items. And this creates hazards for team members. |
Minor works request for additional storage in the pharmacy to ensure there is adequate storage facilities for pharmacy stock. Stock holding to be continually reviewed during the dispensing process to ensure only required products are ordered to reduce stockholding. Training of LS stock ordering process with team members as per 2.1 Excess OTC stock transferred to another pharmacy to reduce stocking holding within this pharmacy. Review of dispensing area to remove excess clutter and improve dispensing space. Pharmacy medicines storage drawers and shelving to be tidied and re-organised alphabetically. Medicines to be separated by strength and form. Caution stickers to be applied where appropriate to reduce risk. Floor area to be cleared of excess stock and clutter to ensure there are no trip hazards |
31/08/2022 | 31/08/2022 |
Pharmacy inspections
Inspection reports and learning from inspections