Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.2 | Pharmacy team members do not follow the pharmacy's processes and record the mistakes they make during dispensing. And there is no evidence of recent learning from these mistakes to help improve the safety and quality of the pharmacy's services. |
To print all newly prepared SOP’s All staff to read, sign and follow SOP’s Staff have restarted using the near miss and error spreadsheet. All staff to continue using form To review all data on the spreadsheet and see if there are any patterns or links. Have a regular meeting with all staff discussing the errors and learning points from them.
|
31/03/2022 | 04/04/2022 |
1.6 | The pharmacy does not keep the necessary robust and accurate records to help ensure the safety and quality of its services. And to comply with current legal requirements. |
Date check has been completed. Use new chart for recording evidence of date check Use date check sheet to record any short-dated stock for the following months Use date check sheet to remove any short-dated stock CD balance records have been checked and balances are accurate. Maintain records and balances Regularly complete balance checks |
31/03/2022 | 04/04/2022 |
4.3 | The pharmacy does not always store medicines that require refrigeration in appropriate conditions. And it does not have suitable systems in place to make sure pharmacy team members store these medicines appropriately. |
Pharmacy is using a different fridge with stores medication at the appropriate temperature. Fridge temperature log being completed daily by staff Staff to continue completing log daily |
17/03/2022 | 04/04/2022 |