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Pharmacy inspections

Inspection reports and learning from inspections

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Easton Pharmacy (1094061) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The standard operating procedures are overdue a review and are not being followed. No incident report or learning has been documented following a recent error which is a risk to people's safety. And, the work areas are untidy and disorganised which poses a further risk.

SOPs have been reviewed. Should be completed within two weeks.
Incident Report and Near Miss Error documentation now in place.
Dispensary cleared and tidied.

04/06/2019 04/06/2019
1.2

The pharmacy team does not routinely assess the safety and quality of the services provided.

Incident reports and near miss errors are now being recorded using our PMR system.
A monthly meeting will be held with staff to review errors and causes.

04/06/2019 04/06/2019
1.3

Some team members do not understand their roles and responsibilities.

All staff are going through relevant SOPs, and signing once read and understood.
All staff to undergo training relevant to their roles. Will use Buttercups training courses.

04/06/2019 04/06/2019
1.6

The pharmacy does not keep all the up-to-date records that they are required to do so by law.

CD headings checked in CD register to ensure CD headings are labelled.
Patient returns are being entered into CD destruction register will be completed within one week.
Every private prescription will be processed ensuring the correct prescriber is recorded in PMR. This will be done as we process and label the prescription.

04/06/2019 04/06/2019
1.7

Not all people’s private information is stored safely.

All prepared patient medicines that were stored in the consultation room for collection have now been removed from there. They are now stored at the rear of the dispensary on shelves and are filed and organised for easy collection.

04/06/2019 04/06/2019
2.1

Some team members are doing tasks that they are not qualified to do. This poses a risk to people’s safety and is against the minimum training requirements of the GPhC.

All staff working in the dispensary are enrolled onto Buttercups training courses that cover their dispensing roles.

04/06/2019 04/06/2019
3.1

The pharmacy does not present a professional pharmacy image.

Pharmacy has been tidied and floors cleaned. Consultation room has had a sign added to its door. A glass panel will be installed into the door.

04/06/2019 04/06/2019
4.3

Not all medicines are stored and disposed of safely.

Hazardous waste list downloaded from PSNC website, printed and put up on wall for staff to see.
All loose blisters of medication have been have been removed from the dispensary.
Stock has been arranged tidily I alphabetical order on dispensary shelves.

04/06/2019 04/06/2019
4.2

There is evidence that some of the pharmacy services are not managed safely and effectively.

Patient Information Leaflets (PILs) are now given to all multi-compartment compliance aids patients with their compliance aids.
A delivery book has been ordered from the NPA to record deliveries.

04/06/2019 04/06/2019