| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy's records are not always maintained in line with legal requirements. This includes the record for the responsible pharmacist and records of supplies made against private prescriptions. In addition, all necessary records to verify that pharmacy services are provided safely should be readily available for inspection. The pharmacy has been unable to locate and show records of unlicensed medicines and controlled drugs, it therefore cannot demonstrate that it is making these supplies and records in line with the current legislation |
The pharmacy will ensure that all mandatory records are made and kept up to date. |
22/10/2019 | 28/11/2019 |
| 1.4 | There are limited systems in place to deal with complaints or feedback. The pharmacy does not provide people with information about how they can complain and there is no documented complaints procedure in place |
The pharmacy keeps a patient questionnaire on the counter at all times; patients and customers are encouraged to provide feedback whilst on the premises or to take home. The 2019 Pharmacy Patient Questionnaire is displayed in the pharmacy opposite the counter and published on the NHS choices website. An updated complaints procedure is currently available on the premises. |
22/10/2019 | 28/11/2019 |
| 1.3 | Pharmacy services are not provided by staff with clearly defined roles and clear lines of accountability. There are limited audit trails in place to identify who was involved in dispensing, the roles and responsibilities of staff are not clearly documented, the pharmacy's SOPs do not make it clear where responsibility lies for different pharmacy activities |
The pharmacy team seeks to maintain a fluid role for its staff, where staff are able perform various in light the small size of the team. |
22/10/2019 | 28/11/2019 |
| 1.1 | The pharmacy is not identifying and managing several risks associated with its services as failed under the relevant principles. Most of the pharmacy's standard operating procedures (SOPs) are missing, they have not been kept at the pharmacy and there is no evidence that the team has read the SOPs |
The pharmacy is reviewing its governance structures including SOP’s and the pharmacy team will work to its procedures. |
22/10/2019 | 28/11/2019 |
| 1.8 | The pharmacy does not have any processes in place to safeguard the welfare of vulnerable people |
The pharmacy engages with all stakeholders to ensure that the interests of children and vulnerable adults are protected. The pharmacy will review its safeguarding processes to make sure they are in line with current evidence based and legal requirements |
22/10/2019 | 28/11/2019 |
| 1.2 | There is not enough assurance that the pharmacy has a robust process in place to identify, manage and learn from dispensing incidents. Staff are not routinely recording near misses, records of dispensing incidents could not be located and there is limited evidence of remedial activity or learning occurring in response to mistakes |
The team reviews incidents as they occur. We will put in place further structures to ensure the recording and review of incidents provide adequate basis for learning and remedial action. |
22/10/2019 | 28/11/2019 |
| 2.2 | Not all of the staff have the appropriate skills and qualifications for their role and the tasks they carry out. The pharmacy has not provided enough reassurance that the GPhC's minimum training requirements for the team are met and members of the pharmacy team are undertaking tasks without being enrolled on accredited training appropriate for this. This includes the owner's wife |
The Pharmacy team undertakes in-house and accredited programmes. Their educational and training needs will be reviewed and where there are gaps in their knowledge and skill, we will work towards achieving the necessary accreditation. |
22/10/2019 | 28/11/2019 |
| 4.2 | The pharmacy has no processes in place for people prescribed higher-risk medicines, they are not being identified, counselled, relevant parameters checked, or details documented. The team prepares multi-compartment compliance aids and routinely leaves them unsealed overnight. They do not supply medicines information leaflets routinely with the compliance aids. This means that people may not have all the information they need to take their medicines safely. In addition, the pharmacy is not effectively managing the situation with medicines that are owed or signposting people to other providers when this happens |
The engages with patients and customers regarding their information needs in the use of the medicines. We will review the deficiencies identified and remedy them. |
22/10/2019 | 28/11/2019 |
Pharmacy inspections
Inspection reports and learning from inspections