Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.1 | The pharmacy does not identify and manage all risks associated with the services it provides. Increased workload pressure has led to some risks going unmanaged. This includes risks associated with record keeping, medicine storage and distractions during the dispensing process. And pharmacy team members do not monitor the impact of these additional risks through recording and reviewing of near miss errors. |
Near misses will be recorded and reviewed on a monthly basis by the whole team. An action plan of this review will be made to reduce further near misses / dispensing error and displayed in the pharmacy. A new member of staff will join the team on w/c 19/09/22 which will reduce workload pressure. |
05/10/2022 | 25/10/2022 |
1.6 | The pharmacy does not keep all its records up to date in accordance with legal and regulatory requirements. This includes records for higher risk medicines requiring safe custody. |
Updated SOP’s regarding record keeping have been re-read and understood and now being followed accordingly. All CD and Private prescription records are all up to date and are now being recorded digitally. RP register is signed in and out on a daily basis digitally and the certificate displayed with the correct RP details |
05/10/2022 | 24/10/2022 |
2.1 | Pharmacy team members are working under pressure and do not always adequately manage the workload. This and a lack of good contingency plans to cover team members leave means key tasks in the pharmacy are falling behind. |
New member of staff will join the team on w/c 19/09/22 which will reduce workload pressure. We are also looking to recruit another part time staff member on a 0 hour contract to cover busy period and staff holidays/sickness. Staff Appraisals have been booked for w/c 10th October. |
05/10/2022 | 24/10/2022 |
4.3 | The pharmacy does not monitor the storage temperature of all medicines requiring refrigeration. And it does not recognise when the fridge temperature is outside the required range. This heightens the risk of the pharmacy supplying a medicine that is not fit for purpose. |
Updated SOPs are now being followed accurately. Fridge temperatures are recorded daily digitally. A new fridge and thermometer have been ordered to store excess stock. |
05/10/2022 | 24/10/2022 |