| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The balance for the controlled drugs is not always accurate or monitored regularly. This can lead to lack of control over controlled drugs and discrepancies which are difficult to rectify. |
Senior Pharmacist will host a meeting with the pharmacy to ensure they are being compliant with the CD register. When to do balance checks, how to perform adjustments, and when to report a discrepancy will be covered. |
10/07/2025 | 26/06/2025 |
| 4.3 | The fridge temperatures are not recorded in the pharmacy and temperatures which are seen to be out of range are not dealt with appropriately in a timely manner. |
Pharmacy staff will be shown, in said meeting, how to enable their ‘Fridge Reminder’ notifications on ProScript to enable more compliant temperature monitoring. |
10/07/2025 | 26/06/2025 |