| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy team does not keep complete records of mistakes identified during the dispensing process and dispensing incidents, and it does not regularly review these mistakes. So team members may miss opportunities to identify patterns, learn from their mistakes and improve their services. |
Team members, including pharmacists and locum pharmacists to record near misses in full on near miss log and discuss errors as a team, and implement appropriate actions to reduce the likelihood of an error occurring again. |
14/04/2026 | 10/04/2026 |
| 4.3 | The pharmacy is not managing its medicines as it should. Medicines returned by people for destruction are not stored appropriately before they are disposed of. There is a risk that they could be inappropriately accessed. The team do not carry out checks on medicine expiry dates. This increases the risk of people receiving medicines which have expired. And full records are not maintained for medicines stored in the refrigerator, so the team cannot show that it is operating with the required range. |
Pharmacy waste medication is to be quarantined in area of pharmacy that is not accessible to the public. Pharmacy contacted NHS for additional uplift (outside of quarterly collections) of clinical waste at cost to contractor. |
14/04/2026 | 10/04/2026 |
| 4.4 | The pharmacy team are not following a process for managing recalled medicines so there is a risk that people could receive a medicine which is not fit for purpose. |
Pharmacy team to action all product recalls on a physical log displayed in pharmacy and not online. |
14/04/2026 | 10/04/2026 |
Pharmacy inspections
Inspection reports and learning from inspections