| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have a set of current standard operating procedures (SOPs) available for team members to refer to. And it cannot show that team members have read SOPs. This means the pharmacy cannot demonstrate that the team is working safely and efficiently. |
SOPs will be put in place and all team members will read and sign the relevant SOPs. |
09/01/2026 | 12/01/2026 |
| 3.2 | The pharmacy's consultation room is visible to members of the public using the pharmacy. This means it is not sufficiently private to provide confidential consultations. |
A blind for the consultation room will be put in place. |
09/01/2026 | 09/01/2026 |
| 4.3 | The pharmacy does not have a process in place for completing expiry date checks regularly. And out-of-date medication is mixed with in-date medication on the shelves. This means there is a risk people are supplied medication no longer suitable for use. |
All retail and dispensary stock will be date checked to identify and remove out-of-date stock. Short-dated stock will be clearly marked to improve the stock rotation process. The pharmacy will Implement an expiry-date checking schedule/log for staff to sign going forward. |
09/01/2026 | 09/01/2026 |