| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not routinely assess risks to patient safety from its activities and services. And it does not keep its working instructions up to date. The pharmacy does not confirm that team members are providing services according to its working practices. This means it cannot provide the necessary assurance that services are as safe and effective as they need to be. |
SOPs to be reviewed and refreshed where required. |
04/12/2019 | 13/12/2019 |
| 1.2 | The pharmacy does not keep records of near-misses. And it does not keep adequate records when mistakes happen. The pharmacy is unable to show where it has improved its services when things have gone wrong. This means that risks are not managed. And services may not be as safe as they need to be. |
All dispensers to record all near misses and incidents on CDRx. |
04/12/2019 | 13/12/2019 |
| 4.2 | The pharmacy does not routinely assess the risks when it introduces new ways of working. And it does support the pharmacy team members by providing working instructions to guide them. This means they may not be providing services in the safest most effective way. |
Review of SOP used for Hub and Spoke model used for dispensing of compliance aids across company. |
04/12/2019 | 13/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections