| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | Standard operating procedures have not been reviewed for several years, so they may not accurately reflect the activities currently taking place in the pharmacy. And some pharmacy team members have not read the standard procedures that underpin the services they provide. So they may not be able to demonstrate that they fully understand their role or responsibilities. And there is a risk that they may not be able to provide pharmacy services safely and effectively. |
Review all SOPs and get them read and signed by all members of staff |
02/12/2025 | |
| 2.1 | One of the pharmacy's delivery drivers is not suitably trained for the tasks they complete, so they may not always have the underpinning knowledge to carry out their role safely and effectively. |
Enrolled on Buttercups delivery driver course. |
02/12/2025 | |
| 4.3 | The pharmacy team does not always routinely record the medicine fridge temperatures. This makes it difficult for them to know that medicines needing cold storage are stored properly and are safe and fit for purpose. |
Routine fridge temperatures taken daily. Ordered new calibrated max/min thermometer for 2nd fridge |
02/12/2025 |
Pharmacy inspections
Inspection reports and learning from inspections