Hobbs Pharmacy (1090941) - Improvement action plan

The pharmacy’s standard operating procedures (SOPs) are not always available and there is no evidence that the SOPs have been read and accepted by current members of the pharmacy team. So, team members may not always work effectively or fully understand their roles and responsibilities.

The SOPs folder has been updated and all superceeded SOPs have been removed and kept in a box in the stock room to prevent confusion. All staff, including locums, to read and sign.

The pharmacy does not store and manage all of its stock medicines appropriately. Dispensary shelves are untidy and some medicines are not stored in their original packaging or in containers with appropriate labelling. The pharmacy cannot provide assurance that the temperature of the medical fridge is appropriately monitored and there isn’t a robust date checking procedure for stock. This means the pharmacy cannot always provide assurance that medicines are in a suitable condition to supply. And it does not properly restrict unauthorised access to some medicines.

Medicines must be kept in their original containers at all times as per SOP.

Medicines not kept in original containers to be disposed of.

Fridge temperature to be recorded daily as mandatory.

Date checking rota already in place. Keep records for future inspections.

Back door to be kept locked at all times to restrict unauthorised access.

Install a coded lock in the consultation room door.

Consultation room to be kept at all times when not in use.