| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not keep its policies and procedures up to date, and there is evidence that team members do not follow them. |
New company wide SOPs in progress to be completed by deadline. Random compliance checks to be completed by owner/ superintendent to ensure procedures are followed |
24/11/2023 | 13/11/2023 |
| 1.2 | The pharmacy does not routinely record near miss errors and dispensing mistakes. And there are no arrangements in place to learn from things that go wrong. |
All dispensing errors/ near miss events to be completed digitally via Pharmsmart app. Template to be provided to formalise reviews Random compliance checks to be completed to ensure that procedures are followed. |
24/11/2023 | 13/11/2023 |
| 4.2 | The arrangements at the pharmacy do not provide the necessary assurances that all of its prescriptions are safely supplied. |
All MDS prescriptions to be clinically checked by pharmacist and annotated. ACPT to check for evidence of clinical checks before dispensing medicines. Missed clinical checks to be recorded as part of near miss log. Random compliance checks to be introduced. All compliance checks to be reviewed at least monthly and action(eg training) to be taken as appropriate |
24/11/2023 | 13/11/2023 |
Pharmacy inspections
Inspection reports and learning from inspections