| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy does not always protect confidential information appropriately. It holds bags of assembled medicines in a retrieval area behind the medicine counter. But this arrangement does not ensure people's private details on bags labels and prescriptions are adequately protected from unauthorised view . |
We will immediately address how completed prescriptions are stored behind the medicines counter to ensure confidentiality is protected at all times. |
01/09/2026 | |
| 1.2 | The pharmacy does not monitor the risk of providing all of its services. Its team members do not make records of the mistakes they make during the dispensing process. And they do not record their learning and actions taken to reduce risk of similar errors. |
We will reinstate immediately the use of the near miss reporting and monitor weekly/monthly . This data will be reviewed and used to assess risk and address via team meetings/daily briefings. All staff have been made aware of the need for each of them to document near misses as each arises. |
01/09/2026 | |
| 1.2 | The pharmacy does not act in a timely manner to investigate stock discrepancies involving higher-risk medicines and to report these in accordance with its own procedures. This means there is an increased chance of mistakes not being identified and acted upon. |
We will ensure Controlled drug balances are carried out and documented each time a CD script is dispensed and given out. Weekly balances are checked by the responsible pharmacist and overseen by superintendent. If no discrepancies are found this will be reported to the Superintendent at the end of the day on a Thursday. If a discrepancy is found this will be reported to the superintendent straight away using a CD Discrepancy form, and the investigation and reporting of this will be made by the superintendent to the accountable officer. |
01/09/2026 | |
| 2.2 | The pharmacy does not have adequate arrangements in place to ensure its team members are enrolled on accredited learning courses within the timeframe set out in GPhC minimum training requirements. And team members do not always go on to complete their accredited learning courses within a timely manner. This means team members may not have the required knowledge and skills to complete all tasks for their role. |
We will enrol all new staff that are not enrolled currently onto the required training courses. Monthly meetings will be planned for each team member with the superintendent to review progress through the course. These meetings will be documented and held in the training file. |
01/09/2026 |
Pharmacy inspections
Inspection reports and learning from inspections