| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have current standard operating procedures in place to cover all the services it provides, which means the pharmacy team may not be following the most up to date processes. And team members have not signed a declaration of competence to confirm that they have read and understood these. |
New Standard Operating Procedures being created and printed. |
27/10/2025 | 24/10/2025 |
| 1.2 | The pharmacy team does not keep complete records of errors that had been identified after people received their medicines, and it does not regularly review mistakes identified during the dispensing process. So team members may miss opportunities to identify patterns, learn from their mistakes and improve their services. |
Creation of Error Record Folder to store and record dispensing errors. Weekly review of errors and log of errors into error type. |
27/10/2025 | 24/10/2025 |
Pharmacy inspections
Inspection reports and learning from inspections