| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | There are unmet risks due to inadequate standard operating procedures (SOPs), staff issues, cramped dispensing area and dispensed medicines stored in baskets on the floor. |
All SOPs to be reviewed and updated. SOPs to be produced for areas not yet covered. |
07/06/2019 | 06/06/2019 |
| 1.2 | Dispensing accuracy is not monitored and reviewed. The pharmacy is missing opportunities to learn from mistakes. This increases the risk of repeat incidents. |
Near Miss logs to be kept and reviewed on a weekly basis with any necessary actions to be taken to address issues raised. |
07/06/2019 | 06/06/2019 |
| 2.1 | Team members are not trained for their role, nor given time to complete training courses. And in some cases, not registered on courses for the role they are undertaking. The superintendent pharmacist does not have time to fulfil that role. |
Team members to be registered on appropriate courses and blocks of time to be allocated to allow study periods. Each person to have two hours per week within working hours to allow course completion. |
07/06/2019 | 06/06/2019 |
| 2.2 | There is no ongoing training and development. So team members may not have the skills to deliver the pharmacy's services. |
Appraisal system to be implemented, with reviews to be undertaken at least quarterly to identify learning and development needs. |
07/06/2019 | 06/06/2019 |
| 2.4 | There is not a culture of learning within the organisation. The pharmacy have not addressed concerns raised at a previous inspection 2 years ago. They were briefly improved at the time, but this was not sustained. |
Quarterly reviews to be undertaken to ensure that all changes made are sustained and all learning opportunities are identified taken advantage of |
07/06/2019 | 06/06/2019 |
| 4.2 | Pharmacy services are not managed safely and effectively for reasons noted above. This increases the risk the pharmacy may not deliver services safely. |
In addition to all actions noted above, FMD to be implemented and a review of how other services are managed to be undertaken and changes to be made as required. |
07/06/2019 | 06/06/2019 |
Pharmacy inspections
Inspection reports and learning from inspections