| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not keep any records of instances when things go wrong within the dispensing process. Team members do not record mistakes and there is no evidence there is any learning from mistakes to help improve patient safety. |
Staff Meeting to take place to discuss– The pharmacy has an active Near miss log – on review this is not been actively used – this is to be logged regularly – and to have an report end of month to reflect on the errors and discuss room for improvement. |
23/04/2025 | |
| 1.7 | The pharmacy does not appropriately separate confidential waste. And so, there is a risk people's sensitive information could be compromised. |
There is Separate Confidential Bins and Waste bins designated in the pharmacy – |
23/04/2025 | |
| 3.1 | The pharmacy's dispensary is excessively untidy, particularly where medicines are stored. This creates an increased risk of mistakes being made which may compromise patient safety. |
Cleaning rota put in place. |
23/04/2025 | |
| 4.3 | The pharmacy stores some medicines without records of the expiry dates or batch numbers. And so, there is a risk that medicines that are not fit for purpose are supplied to people, and medicines that are subject to a recall cannot be identified. Additionally, the pharmacy stores a significant quantity of medicines awaiting destruction in a way that does not prevent unauthorised access. |
All split boxes without expiry dates have been disposed of, staff trained to ensure all boxes that are now made a split to have expiry date and batch number added to them. |
23/04/2025 |
Pharmacy inspections
Inspection reports and learning from inspections