| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | Team members do not make appropriate records of mistakes that happen to help to identify further learning opportunities and make improvements to help the reduce the risk of errors happening again. They do not record and review near miss errors. And records of dispensing errors do not contain sufficient detail of the action taken to learn from them, and the RP is not always stated which may make it harder to identify who was responsible. |
We have implemented and now utilise and electronic recording system that allows for immediate documentation of dispensing errors or near misses as they occur. We will detail as much as possible on the actions taken after errors have occurred also noting which RP was involved. |
06/09/2024 | 16/08/2024 |
| 1.6 | The pharmacy does not keep records of returned CDs which means there is no audit trail of when these medicines were returned and the quantity. This means that pharmacy cannot demonstrate the effective management and safe disposal of these medicines. |
All patient returned CDs have been segregated from regular stock. They have been fully logged electronically in the system. |
22/08/2024 | 16/08/2024 |
| 1.8 | Confidential information is not always stored securely to prevent unauthorised access. |
Locks have been installed on the door to enhance security and restrict access to patient sensitive data and unwanted medication. Additionally we plan to install security camera within the next few days. |
22/08/2024 | 16/08/2024 |
| 4.3 | Controlled drugs are not always stored in accordance with safe custody requirements. And the pharmacy does not store unwanted medicines securely away from unauthorised access |
Medicines requiring safe custody are now consistently stored appropriately to comply with requirements |
22/08/2024 | 03/08/2024 |
Pharmacy inspections
Inspection reports and learning from inspections