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Pharmacy inspections

Inspection reports and learning from inspections

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Cohens Chemist (1095141) - Improvement action plan

GPhC Reference 1095141

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

The pharmacy team does not identify and manage risks. And, the working areas are untidy and disorganised and this increases the risk of mistakes.

Dispensary to be tidied and cleared of clutter.
Risk review to be completed to identify risks and implement steps to avoid them.

 25/11/2019 25/11/2019
1.2

There is insufficient recording, reflection and learning from mistakes to prevent them from happening again.

Near misses to be recorded on the company near miss sheets.
Any dispensing errors to be recorded on the intranet.
Monthly patient safety report to be completed to reflect on near misses and errors and discussed with team.

 25/11/2019 25/11/2019
2.1

The pharmacy does not always have enough staff to manage its workload safely.

Review rota and ensure adequate staff cover at all times.
Groundwork for this has already been completed and extra staff drafted in on days the branch is short.
Staff member to return from maternity leave in January.
Recruitment ongoing for 20 hour position.

 25/11/2019 25/11/2019
2.2

Team members in training do not receive dedicated learning time. And, so are inadequately supported.

Review of rota and extra staff drafted in should ensure more time for manager to train staff.
Area coordinator and Management Support Pharmacist supporting branch also.

 25/11/2019 25/11/2019
3.1

Not all parts of the pharmacy look professional. Areas are untidy which increase the likelihood of errors. And, the pharmacy is doing some activities for which they have inadequate space.

Dispensary to be tidied and cleared of clutter.
Consider if Wholesale Dealing is appropriate in this branch.

 25/11/2019 25/11/2019
3.2

Clear glass panels in the consultation room door mean that people’s confidentiality cannot be maintained.

To be raised with facilities department.
In meantime, cover to be placed over clear glass to obscure view into the room.

 25/11/2019 25/11/2019
4.2

The services are not all effectively managed to make sure that they are delivered safely. The lack of training of some team members means that sometimes the pharmacist is not aware of issues that may need her intervention.

Support from area coordinator and Management Support Pharmacist will mean that staff are better trained.

 25/11/2019 25/11/2019
4.3

Medicines are not always stored or disposed of safely.

Ensure storage of medicines is appropriate and within the legal requirements.
Review areas for storage of waste medicines and DOOP bins.
Carry out an exercise to reduce stock holding in fridge.

 25/11/2019 25/11/2019
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