| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | There is not enough assurance that the pharmacy has a robust process in place to manage and learn from dispensing incidents. Staff are not routinely recording near misses or dispensing incidents, full details are not documented and there is limited evidence of remedial activity, review or learning occurring in response. The regular pharmacist is not routinely informing the superintendent pharmacist (SI) about incidents. This means that the SI is not always involved or able to identify and manage risks associated with the pharmacy's services |
Ensure that staff understand the need to record dispensing incidents in the near miss log and the 5 whys? Are implemented. The pharmacist must conduct regular team meetings to ensure staff are able to identify the risks associated with the pharmacy’s services. In the present time the Superintendent Pharmacist will be in regular contact with the branch. Staff are to follow the procedures set in the SOPs regarding risks and near misses. |
02/09/2019 | 02/10/2019 |
| 1.1 | The pharmacy is not identifying and managing several risks associated with its services as failed under the relevant principles. Some of the staff have not read the pharmacy's standard operating procedures (SOPs) and are not appropriately trained on procedures. Team members are supplying some medicines within compliance aids without the relevant checks being made to determine suitability for this. People prescribed higher-risk medicines are not routinely identified, no checks are made about relevant parameters and no details are recorded |
All staff are to read the SOPs and understand the systems put in place. Staff will receive appropriate training and guidance. The Pharmacist must identify higher risk medication and have a recording system in place either a diary system or on Proscript. Staff are to sign SOPs |
02/09/2019 | 02/10/2019 |
| 1.6 | The pharmacy is not maintaining all of its records in accordance with the law. Staff have not maintained appropriate records for private prescriptions since October 2018 |
All staff at the pharmacy will be trained on how to enter private prescriptions in the Private Register. Staff are to follow SOPS on the correct entry of private scripts and the understand the legal scope. |
02/09/2019 | 02/10/2019 |
| 1.7 | The pharmacy is not routinely safeguarding people's confidential information. Confidential information is left accessible from the unlocked consultation room, staff are not preventing unauthorised access into the dispensary, the pharmacy does not inform people about how their private information is maintained, staff are not trained on recent developments in the law and people's sensitive information can be seen from the way signatures are obtained during the delivery service |
Confidential waste is to be removed from the consultation room. Orange confidential bags are to be provided allowing clear separation of confidential waste. |
02/09/2019 | 02/10/2019 |
| 3.1 | The pharmacy has broken fixtures and fittings that have not been appropriately maintained. One of the cabinets in the retail space has a broken glass panel, this means that half the cabinet is left open and people can help themselves to Pharmacy medicines |
Glass panel to be repaired. |
02/09/2019 | 08/10/2019 |
| 4.2 | Team members are storing some medicines inappropriately, there are loose blisters, poorly labelled containers or some without any labels to indicate the contents and there is no up-to-date schedule in place to verify that medicines have been regularly date-checked for expiry |
Any loose medication is to be dooped. In future the original split boxes or containers are to be kept thus ensuring that all the correct information is available regarding any loose blisters. Ensuring batches and date checks are conducted. |
02/09/2019 | 02/10/2019 |
Pharmacy inspections
Inspection reports and learning from inspections