| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy's records for higher-risk medicines are incomplete and inaccurate. When discrepancies relating to controlled drug records are identified, they are not investigated appropriately and in a timely manner. This may make discrepancies harder to resovle. |
Standard operating procedure (SOP) being developed specifically for branch to follow. SOP will outline that the controlled drugs register is to be updated, and balance checked whenever controlled drugs are received or handed out. |
20/08/2025 | 04/09/2025 |
| 4.3 | The pharmacy does not ensure all of its medicines are safe to supply by monitoring and recording fridge temperatures. So, there is a risk that some medicines may not be fit for use. |
The branch has an SOP regarding recording of fridge temperatures. The branch also has SensorPush temperature sensors in the fridges. This allows the fridge temperatures to be monitored 24/7 via mobile app. |
20/08/2025 | 04/09/2025 |
| 4.3 | Some high-risk medicines are stored in such a way that creates a significant risk of unauthorised access when team members are handling these medicines. |
The cabinet for medicines requiring safe storage is currently located in a position that increases the risk of unauthorised access. This shall be moved to a different area that mitigates the risk of unauthorised access. |
20/08/2025 | 04/09/2025 |
Pharmacy inspections
Inspection reports and learning from inspections