Muxton Pharmacy (1088121) - Improvement action plan

The pharmacy cannot always demonstrate that it is storing and managing medicines appropriately.

1. Team members are given sufficient time to read and understand the procedures. I will take measures to ensure the procedures are being followed.
2. Not all near misses are logged. Each near miss will be noted and reviews will be carried out as per the procedures. A note in the diary is made so the reviews will not be overlooked.
3. A complaint notice will be clearly advertised. Team members will actively inform customers that they may raise complaints with the pharmacist or anonymously post a note into the wall mounted post box inside the pharmacy. There is a pencil and paper.
4. Criticism has been made about cleanliness, so a cleaning rota has been implemented so that the team member takes ownership by signing on completion of the task.
5. Emergency supplies are now recorded in a timely manner in the Prescription Only register. The informal procedure is running parallel with the formal procedure.
6. The Information Governance procedures have now been located and are kept with the standard procedures. The privacy notice will be clearly advertised in the front of the shop and the Information Commissioner’s certificate is now available for inspection.
7. A review will be made to identify those patients on high-risk medicines. I will organise a team briefing to reinforce the procedures and highlight what we will do to provide additional counselling. Sanofi has been contacted and they have sent patients cards and other safety literature. Patient cards are now being handed out at each dispensing.
8. A practice leaflet is being worked upon, target date is 25 November (10 weeks).
9. Outbound faxing of prescriptions and repeat requests prevails, however a cover sheet is used.
10. Pharmaceutical waste bins have been checked for appropriate contents to make sure medicines are disposed of correctly. I will ask the waste disposal company to provide a cytotoxic waste bin next time they come
11. Date checking procedures have now been tightened up by allocating a set time each day.
12. Drug alerts are responded to more actively. They are read by the team, dated, actioned and filed in a dedicated folder.
13. A new fridge thermometer has been purchased and is now in place.
14. Action is being taken to ensure that obsolete medicines are disposed of appropriately and in a timely manner.