| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy has not been keeping and maintaining all the necessary records for the safe provision of pharmacy services. |
• Implement new SOP file, review SOPs with staff. • Service SLA’s refreshed for all services offered |
25/05/2022 | 13/07/2022 |
| 1.1 | The risks associated with providing pharmacy services are not adequately identified and managed. The pharmacy has key standard operating procedures (SOPs) that are missing and others were out of date and required reviewing. |
• Implement new SOP file, review SOPs with staff. • RP Log implemented • Implement Near Miss logs in each department, nominated champion •Reviewed procedure for handling dispensing errors •Reviewed procedure for delivery service •Regular CD balance checks •Fridge temp monitor consistently • Date checking matrix to be completed • MHRA drug alerts with actions and dates. |
25/05/2022 | 13/07/2022 |
Pharmacy inspections
Inspection reports and learning from inspections