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Pharmacy inspections

Inspection reports and learning from inspections

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Well (1042678) - Improvement action plan

GPhC Reference 1042678

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy does not manage all risks. It does not always follow correct processes for dispensing, and it is behind with some dispensing.

1. Revisit Best in Class Operational procedures – Prescription Management.
2. Provide Pharmacy Store Manager with the identified skill mix and hours for the pharmacy.
3. Regional Development Manager to maintain contact with the pharmacy on a 4 weekly basis ‘How you doing – check in’

 16/07/2019 31/07/2019
1.2

The pharmacy does not routinely review the reasons for dispensing mistakes so cannot learn from these.

1. Organise team meeting, discuss Patient Safety reporting requirements, near miss recording & reviewing.
2. Complete reflection and learning – weekly share & learn team huddles.

 16/07/2019 31/07/2019
2.1

The pharmacy does not have enough suitably qualified staff to safely lead and deliver its services.

1. Review staffing skill mix and hours for the pharmacy.
2. Review region escalation process and provide updated version to Relief Managers and stores.
3. Complete the company staffing and capability review, agree an action plan and implement ongoing staff rotas - six weekly planning.

 16/07/2019 31/07/2019
4.2

The pharmacy does not deliver all services safely, especially medicines supplied in instalments. And it does not follow a robust process for clinically assessing prescriptions.

1. Complete reflection and learning, agree any training required and discuss organisation of workload.
2. Re-read SOP 16, Appendix. Implementing use of PC 70 form for instalment prescriptions.
3. Re-read SOP 3 – Prescription Labelling, making the pharmacist aware of any new items, changes to medication, interactions, warnings and messages.

 16/07/2019 31/07/2019
4.3

The pharmacy does not store all medicines appropriately.

1. Revisit Best in Class – Stock Management, including SOP 18
2. Revisit Best in Class – Controlled Drug Management, including SOP 15

 16/07/2019 31/07/2019
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