| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | Pharmacy team members do not have complete set of written procedures for the activities they perform. And not all team members have read the written procedures available to them. |
S.O.P.s to be reviewed, all missing items to be added and updates made as necessary. |
22/01/2025 | |
| 1.2 | The pharmacy does not have a robust process for team members to learn from mistakes. And not all team members know how to record mistakes made when dispensing. They do not complete reviews of mistakes or demonstrate sufficient learning and changes to the way they work following mistakes. This was similar at the last inspection. |
Produce a simple custom near miss log to be kept in dispensing area. Reviews to be carried out weekly with a summary of findings/suggestions for changes to be made available to all staff. |
22/01/2025 | 29/01/2025 |
| 4.3 | The pharmacy does not store all its medicines as it should, including some of its higher risk medicines. This was seen at previous the previous inspection and so improvements have not been maintained. |
All storage facilities for higher risk medicines to be properly fitted by 31/12/24. All food to be removed from fridges |
22/01/2025 | 29/01/2025 |
Pharmacy inspections
Inspection reports and learning from inspections