| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | Some pharmacy team members have not read the most recent versions of standard operating 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. |
Pharmacy staff to read or re-read and sign SOPs. Manager to ensure staff have an understanding of the importance of complying with SOPs when dispensing or carrying out pharmacy services. |
22/01/2026 | |
| 1.1 | The pharmacy does not have risk assessments or a standard operating procedure for the private weight loss service it provides. This means it may not be able to demonstrate that it has assessed all of the risks and considered how to mitigate these before launching the service. And team members may not have access to written procedures on how to deliver the service safely and effectively. |
A weight loss SOP that includes an assessment of the risks associated with the service to be read and signed by pharmacy team. |
22/01/2026 | |
| 2.1 | Some staff members are not suitably trained for the tasks they complete, so they may not always have the underpinning knowledge to carry out their roles safely and effectively. |
Manager to complete staff training record and ensure staff are enrolled on training course relevant to job role. |
22/01/2026 | |
| 4.3 | Some medicines are being stored in a fridge that has not consistently maintained temperatures within the required range of 2°C to 8°C. This means the pharmacy may not be assured that these medicines are always safe and fit for purpose. |
New fridge thermometers to be sent to branch. Pharmacy staff to ensure fridge temperatures logged daily and excursions reported to head office. |
22/01/2026 |
Pharmacy inspections
Inspection reports and learning from inspections