| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not monitor the risk of providing all of its services appropriately. Its team members do not make records of the mistakes they make during the dispensing process. And there is no evidence of reflection or learning following these near misses and dispensing incidents to help reduce risk. This means there is an increased chance of repeated mistakes occurring. |
Staff to be re-trained on Near Miss SOP and Patient Safety Record Keeping SOP. Reviews of record keeping to be conducted weekly by SI until confident correct records |
27/02/2025 | |
| 2.1 | The pharmacy does not always have enough staff to safely operate across the duration of its advertised opening hours. It regularly closes for part of the week due to not having enough pharmacists to cover its opening hours. This arrangement is regularly leaving people unable to access the pharmacy services advertised. |
Pharmacist cover is organised for 5 out of the seven days. Locum cover is always sought for the other two days however cannot always be found. Staff re-trained to ensure BCP are always |
27/02/2025 | |
| 4.1 | The pharmacy's services are not always accessible to people. The pharmacy is regularly closed when it is advertised as being open. This has led to people being unable to access treatment and advice to treat minor ailments and to collect their medicines. Furthermore, the pharmacy's entrance from street level is broken and closed to the public. This means people who cannot use steps are unable to access the pharmacy. |
Staff re-trained to ensure BCP are always followed, meaning the pharmacy is not advertised as open when there is a temporary One entrance is currently not accessible due to damage. Whilst arranging repair patients with mobility |
27/02/2025 | |
| 4.3 | The pharmacy does not have effective processes to ensure out-of-date medicines are removed from stock. Although it identifies medicines with short expiry dates, it does not remove these medicines from stock in a timely manner when they reach their expiry dates resulting in out-of-date medicines on its shelves. This increases the chance of an out-of-date medicine being supplied. |
Branch Staff to complete date checking and record on the PMR. Records to be reviewed by SI |
27/02/2025 |
Pharmacy inspections
Inspection reports and learning from inspections