| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy cannot demonstrate that it records and learns from any dispensing mistakes. So, it may be missing out on opportunities to learn and make the pharmacy's services safer. |
Create a dispensing incident log to record details of any dispensing incidents/errors that may have taken place and any additional information regarding the circumstances. Contact with GP if needed and outcome. Use Template from NPA. |
02/06/2026 | |
| 1.6 | The pharmacy does not keep all the records it needs to by law. It does not record who the responsible pharmacist is each day. So, it may be harder for the pharmacy to find out this information if there was a query. |
Record online in [electronic portal] responsible pharmacist, leave details in locum folder for log-in details. |
02/06/2026 | |
| 1.6 | The pharmacy does not make the mandatory records about certain medicines which need additional records. So, this increases the risk that these medicines might be lost or unaccounted for. |
Use supporting software [CD register software] to make CD entries and keep up to date with running balance. Copy prescriptions to be requested from CGL, any other CD Rx to be searched on the PMR system and copy print taken. Reconcile register with entries from missing period and ensure running balance is accurate. Request copy invoices from wholesalers for the same period to ensure no missed entries for incoming to be booked in CD stock. Weekly running balance to undertake moving forward. |
02/06/2026 | |
| 3.1 | The pharmacy is generally clean and tidy. But its consultation room is filled with boxes and other items, and is not currently useable. So, this may make it harder for the pharmacy to allow people to have a conversation with a team member in a private area. |
Clear consultation room of unnecessary materials and only items for Pharmacy First or other services to be in this area, cleaning matrix to ensure weekly any items not required to be in this area are clear. |
16/06/2026 | |
| 4.3 | The pharmacy cannot demonstrate that it regularly monitors and records its fridge temperatures. This gives the staff less assurance that the medicines inside are safe to use. |
Fridge temp to be recorded in PharmSmart online software at the beginning of the day. |
02/06/2026 | |
| 4.3 | The pharmacy does not always store its medicines in appropriately labelled containers. It has several loose strips of tablets or capsules in stock. And there are bottles of stock medicines which are not appropriately labelled. For example, they are not labelled with the batch number and expiry date, so this means that date checks or actioning drug alerts and recalls would be less effective. |
Clear dispensary of any such medicines that may have insufficient labelling , no batch/expiry, only medicines in original container or appropriate labelling to remain. To be disposed in Clinical waste medicine containers. |
02/06/2026 |
Pharmacy inspections
Inspection reports and learning from inspections