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Pharmacy inspections

Inspection reports and learning from inspections

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Newmachar Pharmacy (1090277) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy's standard operating procedures are out of date. And there is no evidence of team members reading and following them. This means all tasks may not be undertaken properly.

SOP,s are now all updated and staff in shop have re read and signed. (Completed 16.09.19)

30/09/2019 08/10/2019
1.2

The pharmacy does not record mistakes. And there are no arrangements in place to learn from mistakes. This increases the risk of them happening again.

Pharmacist manager reminded to ensure all near misses are recorded and sent to superintendent for review. Error logs are already recorded and sent to office to be reviewed by superintendent.
Errors and near misses are used as a training tool for staff to evaluate what went wrong and what to put in place to minimise any repeat. These are to be written in staff training folders to show understanding of what went wrong. (16.09.19 in place and ongoing)

30/09/2019 08/10/2019
2.1

There are not always enough suitably qualified staff to operate the pharmacy safely and effectively.

On the day of inspection there was a counter member of staff on duty along with pharmacist. This was due to regular member of staff being off sick along with sickness in other shops and holidays. The shops have excess relief staffing nearby to cover and also 5 relief managers to service 8 shops so adequate staffing is in place. The managers are responsible for staff cover and all work together using their professional opinion and the work loads of what staffing is required in any one shop to ensure this happens accordingly. If any issues then they contact superintendent. Managers reminded to ask for advice or support if not happy with cover given at any time. We trust the judgement of managers and have had no issues in the process. Staffing levels are reviewed by superintendent. (16.09.19 in place and ongoing)

30/09/2019 16/09/2019
2.2

Not all team members are undergoing appropriate training for their role, as per GPhC minimum training requirements.

All staff are trained in accordance to their positions. The Pharmacist on duty should not have used or allowed the counter assistant to do dispensing duties. The pharmacist has been reminded of the importance in addressing if an issue and not to ask untrained staff to complete tasks out with their realms.
Both members of staff are no longer with the company. (16.09.19 in place and ongoing_

30/09/2019 16/09/2019
3.2

People's dignity is compromised because there is not an area in the pharmacy available and useable for discreet conversations.

The consultation room has never had a door in the years it has been operating as room is too small. We have now however fitted a curtain to be closed should this be necessary.
The pharmacist has been reminded of the importance in keeping the room free from clutter so can be used in accordance of its purpose. This has now been actioned.
(16.09.19 curtain in place and room cleared)

30/09/2019 08/10/2019