| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy does not always adequately protect people's personal information. |
Confidentiality SOP to be re-read by staff members. Spot checks to be completed by pharmacists to ensure confidential waste is not placed in the incorrect bin. Shredder is at the pharmacy premises and used when assembling compliance packs to prevent any confidential waste placed in the incorrect bin. Third party contractor continue to be used for confidential waste |
09/03/2023 | 21/04/2023 |
| 1.1 | The pharmacy does not always manage its risks appropriately. For example, it cannot demonstrate that it has robust systems to ensure all its medicines are stored securely. |
Update SOPs in relation to patient returned medicines. Include CD and Cytotoxic list so staff can easily identify. Staff to read. Update and relevant staff to read SOPs in relation to CD storage and CD balance checks. Update and relevant staff to read SOPs in relation to fridge temperature monitoring Date checking record to be reformatted for staff members to use when checking medicine expiry dates |
09/03/2023 | 21/04/2023 |
| 4.3 | The pharmacy does not always manage its medicines properly or store them securely. |
Patient returned CD register sheets to be moved into CD cabinet to encourage timely recording Petty cash safe removed from dispensary location to prevent staff members using to store CDs Staff and pharmacists to initial dispensing labels on compliance packs for audit trail Staff members to complete regular date checks on stored medicines. Reinforce to staff that CD balance checks to include the expiry date checks as well. Expired stock to be separated. Staff members to ensure all CDs are stored securely. Including sorting patient returned CDs at point of return into the compliant cabinets. |
09/03/2023 | 21/04/2023 |
Pharmacy inspections
Inspection reports and learning from inspections