| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy team members do not identify and manage some risks. |
The pharmacy team will hold meetings on a regular basis where they will assess and discuss near miss & dispensing errors logs and to raise risk concerns or any other general issues. |
20/01/2020 | 02/01/2020 |
| 1.2 | The pharmacy team do not routinely assess the safety and quality of the services it provides. And, the standard operating procedures are overdue a review. |
SOPs to be reviewed by pharmacist. All staff to read and sign relevant SOPs |
30/03/2020 | 02/01/2020 |
| 2.1 | The pharmacy does not always have enough staff to manage its workload safely. The staffing rota means that sometimes the pharmacist is working on his own. |
Staff rota arranged to fill any gaps in cover for pharmacy. One member of staff will work from 11am to 3pm to cover gap between 2:30 to 3pm. |
20/01/2020 | 02/01/2020 |
| 3.1 | Not all areas of the pharmacy present a professional pharmacy image. |
Repairs and decoration to consultation room & floor in dispensary. (In progress) |
03/02/2020 | 02/01/2020 |
| 4.2 | Not all the pharmacy services are effectively managed to make sure that they are provided safely. |
Folders now used for methadone patients and all prepared methadone is labelled. |
20/01/2020 | 02/01/2020 |
Pharmacy inspections
Inspection reports and learning from inspections