| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 2.1 | The pharmacy does not have the right number of pharmacy team members throughout the week. This means that the pharmacy is unable to keep up to date with all the tasks they need to. |
Review of staffing profile to highlight potential gaps and ensure adequate cover across opening hours of branch. Non-Pharmacist Manager to be recruited to allow pharmacists to focus on clinical aspects of role and to provide leadership for team. When Non-Pharmacist Manager commences role , current supervisor (a Health Care Partner) to join dispensary team full-time. ACT cover to be arranged one day per week. A zero hours contract (Health Care Partner) to be initiated to allow for flexibility of cover in the event of sickness and holidays. Sickness to be managed as per company procedures. Protected weekly training time to be allocated which will allow newer members of the team to progress through training courses and upskill. Training logs for each colleague to be reviewed and training arranged as necessary to ensure that we have the capability to complete routine tasks. Rota to be produced for routine tasks to ensure completion. Schedule for completion of performance reviews with all colleagues to be created. |
08/07/2019 | 21/08/2019 |
| 4.3 | The pharmacy does not always manage its medicines appropriately. The pharmacy team members don’t always check for out of date medicines. And they cannot provide assurance that faulty medicines are removed in time. This means they risk making supplies of medicines that may not be safe to use. |
Plan to be made for date check of entire dispensary with out of date stock removed and medicines with an expiry date within 6 months highlighted with short date stickers. Date check matrix to be followed thereafter and completed fully with dates and signatures to provide audit trail. Expiry dates to be checked during dispensing/checking process as per SOP. Product recalls and alerts since February 2019 to be actioned with paperwork completed and filed in folder. Emails to be checked at least twice daily and any recalls or alerts to be printed immediately, drawn to attention of RP and actioned. Paperwork to be completed then filed in folder. |
08/07/2019 | 21/08/2019 |
Pharmacy inspections
Inspection reports and learning from inspections