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Pharmacy inspections

Inspection reports and learning from inspections

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Rother Care Pharmacy (1091161) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy does not keep all the records it needs to correctly. This includes records about controlled drugs and private prescriptions.

Private Prescriptions from ~March 2023 to be filed according to month and ensure electronic record is correctly updated with the prescriber/reference. An extra label to be printed onto the Private Rx as a copy of the electronic reference ID as well as the pharmacy stamp. These will be archived and kept for two years as per SOPs.

12/01/2024 26/02/2024
1.1

The pharmacy does not always adequately manage all the risks associated with its services. Its standard operating procedures are not readily available. So, its team members may not be following best practice when providing pharmacy services. Its records about controlled drugs are not kept in line with requirements. And it does have suitable means of disposing its confidential waste.

Standard Operating `procedures to become readily available in a paper format as well as online and ensure all staff have read and understood the SOPs. CD Sops have now been implemented and all CD balances with proof will be emailed to Jhoots head office of all categories of CDs. Confidential waste has been segregated and ensure a reference is kept when chasing the confidential waste company for collection. Confidential waste bins have been clearly labelled to ensure waste is kept segregated.

12/01/2024 26/02/2024
1.7

The pharmacy does not have suitable means of disposing its confidential waste which could start to present a health and safety issue if not addressed soon.

Confidential waste -new contract put in place to collect on a monthly basis.

12/01/2024 26/02/2024
2.1

The pharmacy team isn't able to manage its increasing workload, including tasks such as record keeping, effectively.

Pharmacy Team to be enrolled on buttercups training and ensure all elfh (NHS) modules are completed to ensure best practice is followed. A suitable model day procedure to be implemented to ensure health and safety procedures are followed to enable workload to be managed with better understanding for priority order of tasks.

12/01/2024 26/02/2024