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Pharmacy inspections

Inspection reports and learning from inspections

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D R Rosser Ltd (1043381) - Improvement action plan

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

The pharmacy does not identify and manage all risks. It does not comply with its written procedures.

1. All Staff retrained on SOPs: emphasised importance if following procedures.
2. All SOPs revamped and customised.

30/03/2020 21/01/2020

The pharmacy has no procedures to learn from mistakes to prevent them from happening again.

1.Near miss log and error log installed
2. Analysis of mistake/near miss log (monthly or after an incident)
3. Regular staff meetings to improve errors. Also look at any patterns
4. Regular staff complete CPPE LASA.

20/01/2020 21/01/2020

The pharmacy does not keep all the records it must by law.

1. All POM entries now entered in the POM register as per regulations.
2. Error and Near miss logs kept.
3. All MHRA records for recalls kept and acted upon appropriately

20/01/2020 21/01/2020

The pharmacy services are not all effectively managed to make sure that they are delivered safely.

1. Complete rewrite of the SOPs making them taylor-made for the shop
2. Complete re-training of SOPs to all staff
3. Regular staff training introduced time given in work time to reflect this.
4. A formal staff appraisal given to all staff within four weeks.
5. New stools put into consultation room and sign installed

20/01/2020 21/01/2020

The pharmacy does not store or dispose of all its medicines safely.

1. Staff made aware of all dangerous meds and list highlighted to all staff.
2. Disposal SOP re written and implemented
3. LHB informed on purple lid not fitting and new bin/bin top ordered and new bin and top received.

20/01/2020 21/01/2020

The pharmacy has inadequate procedures to show that people only get medicines or devices that are safe.

1.Dispensing SOPs revamped.
2. Fridge temperatures re-calibrated.
3.Date checking matrix recorded when date checking occurs.
4. Drug recalls acted on and recorded
5. Audits regularly done and acted on information shared with staff.

20/01/2020 21/01/2020