| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy doesn’t have any documented systems in place for the team members to record mistakes that happen. And they don’t have a process to follow if a mistake does happen. They don’t regularly record their mistakes. And, they don’t explore and regularly discuss why mistakes happen or review their errors for patterns. There is little evidence of learning from mistakes. So, the team may be missing out on opportunities to make changes to stop similar errors in the future. |
• SOP is available in store No 21.3 Dealing with an incident that indicates the pharmacy business may not be running effectively. Also, staff have access to the near miss register and are encouraged to use it and to have monthly discussions but hadn’t been using them properly. Because they haven’t been implementing the SOP, the SOP has been reviewed and a new simplified summary SOP has been created to ensure staff have signed and adhered to the policy for near miss reporting and discussing. The superintendent will expect monthly emails from the store detailing the monthly near miss report that staff have discussed. |
30/07/2019 | 30/07/2019 |
| 4.2 | The pharmacy doesn't have appropriate safeguards in place for all its services. It doesn't have a robust process for medicines it delivers to people’s homes. The pharmacy doesn't keep a record of the deliveries it completes each day. And it doesn't obtain signatures from people it delivers to. So, there is no audit trail for any part of the service. |
• There is an SOP highlighting the delivery process. There are sufficient sheets for the driver to take out and obtain a signature for an audit trail. At the time of the inspection the RP was not carrying out the SOP as has been set out by the SI and this has immediately been implemented since the inspection and is being carried out appropriately |
30/07/2019 | 30/07/2019 |
Pharmacy inspections
Inspection reports and learning from inspections