| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not routinely assess risks to patient safety from its activities and services. And it does not keep its working instructions up to date. The pharmacy does not confirm that team members are providing services according to its working practices. This means it cannot provide the necessary assurance that services are as safe and effective as they need to be. |
All SOPs are currently being redrafted/ reviewed. Patient feedback survey (online and paper copy) is being distributed to allow closer analysis of patient perception of the branch. |
26/11/2019 | 17/12/2019 |
| 1.2 | The pharmacy does not keep records of near-misses. And it does not keep adequate records when mistakes happen. The pharmacy is unable to show where it has improved its services when things have gone wrong. This means that risks are not managed. And services may not be as safe as they need to be. |
Within the companies SOPs is the RPS near miss error log forms. Staff have been shown how to fill out this form and of the importance of recording near misses in order to prevent potential errors in the future. We are also moving to a digital record of error/incident reporting using the integrated reporting module in the PMR. Staff have been trained in using this also and the SOP has been updated. |
26/11/2019 | 17/12/2019 |
| 4.3 | The pharmacy has inadequate storage arrangements in place for some high-risk medicines. And those medicines are not kept in an orderly manner and are mixed together. This means that selection risks are not being managed. And the risk of dispensing the wrong medicine is increased. |
A new CD cabinet has been ordered. |
26/11/2019 | 17/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections