| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has written procedures to help its team work safely. But these are not always followed in practice. For example, the pharmacy doesn't keep a record about the medicines it delivers. And the audit trail to show its team members have read these procedures is incomplete. This makes it harder for the pharmacy to be sure all its team members are aware of and are following safe ways of working. |
The dispensary team and the delivery driver will make a record of the name and address of each delivery being sent out. These records will be held for 28 days before destruction. New staff members will read the SOPS and sign each SOP after reading. All current staff members will achieve this within 60 days. |
14/05/2026 | 26/02/2026 |
| 4.3 | The pharmacy does not keep its medicines in an organised way. And it does not have robust date-checking processes in place. This increases the risk of mistakes happening and medicines being supplied when they are no longer suitable to use. |
Cardboard dividers will be installed to act as a guide dividing up the shelves into discrete areas. This will assist the dispensary team in keeping the stock on the shelves ordered by Drug Name, Form and Strength. The store will have a record of short dated medications, listed by month of expiry, which can be referred to by the staff as needed to quickly remove stock approaching expiry. A daily date checking process will be incorporated in the working day of the dispensing team, breaking the date checking down into bite sized amounts. |
14/05/2026 | 25/02/2026 |
Pharmacy inspections
Inspection reports and learning from inspections