| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not identify and manage risk well. Staff are not clear about how they learn from their mistakes. |
General and FMD SOPs read, understood and signed by all staff members. All Errors and Near misses are recorded and reviewed. Actions are taken are taken as a result of reviews. Root cause analysis process is in place to carry out investigations as a result of errors. Fridge temperature will be monitored and recorded daily. Discrepancies will be actioned following SOP guidelines. Private prescription and emergency supplies are processed, recorded and stored appropriately. Expiry dates are clearly marked on opened medicines. |
25/11/2019 | 15/12/2019 |
| 1.4 | The pharmacy team cannot demonstrate how they gather feedback from people and use this to improve their services. |
Staff are aware of the complaints procedure and how patients can access it in order to improve service provision. Staff members will have an awareness of the CPPQ questionnaire and its importance. |
25/11/2019 | 23/11/2019 |
| 4.4 | The pharmacy team are not clear on how to receive concerns about medicines or medical devices that are not fit for purpose. |
MHRA drug alerts are checked daily, actioned appropriately and records kept. Defective medicine reported on the MHRA website via the Yellow card online reporting scheme. Medicinal wastes are segregated appropriately. Date checking matrix are used to carry put date checks and short-dated medicines are visibly marked. |
25/11/2019 | 23/11/2019 |
Pharmacy inspections
Inspection reports and learning from inspections