| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have a system in place for reviewing and updating its policies and procedures. This means it cannot provide assurance that it is adequately identifying and managing the risks with its services. |
A SOP will be put into place to periodically review our existing SOP’s and to analyse any possible missed areas/activities |
29/06/2021 | 16/06/2021 |
| 1.2 | The pharmacy does not have a system in place to assess the safety and quality of the services it provides. This means it cannot provide the necessary assurance that its policies and procedures are effective at managing the risks at the pharmacy. |
Update all SOPs including review date with specific focus on the near miss logs and systems to periodically analyse the near miss events with branch staff. |
29/06/2021 | 16/06/2021 |
| 4.3 | The pharmacy does not safeguard the safety and security of all of its medicines. It does not have effective arrangements in place to identify and remove out of date medicines. And stock medicines are not always appropriately packaged or labelled. There is a lack of assurance to show that medicines requiring refrigeration are kept at the correct temperature. |
Review & re-implement Date check SOPs Organise a short branch training event, re-iterate importance of date checks and audit tools. Sop and system to be implemented to keep treatment room locked at all unoccupied times with keys to be kept in secure location when not in use |
29/06/2021 | 16/06/2021 |
Pharmacy inspections
Inspection reports and learning from inspections