| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy is cluttered and untidy, and the team has no clear workflow. So, there is a significant risk of mistakes happening in the dispensing process. The pharmacy does not have robust processes to manage the risks of providing multi-compartmental compliance packs. And, pharmacy team members do not always follow standard operating procedures. The pharmacy does not have enough team members to effectively manage risks. So, the pharmacy is creating significant risks to people’s safety. |
Remove all clutter and store what is required during dispensing process in an appropriate place. Discuss with dispenser the best way to organise workflow during dispensing process to eliminate any possible risks of errors occurring. |
27/06/2019 | 19/09/2019 |
| 1.7 | Pharmacy team members dispose of confidential waste in general waste bins. So, they do not adequately protect people's private information. |
Ensure all team members are aware of the importance of confidentiality and to ensure all private and confidential information is shredded at the earliest. |
27/06/2019 | 19/09/2019 |
| 1.4 | The pharmacy has not maintained the standards following feedback from the inspector in the previous inspection in 2017. |
Re-visit inspection report from 2017 to identify gaps in standards and work to rectify these gaps. |
27/06/2019 | 19/09/2019 |
| 2.1 | The pharmacy does not have enough staff to safely organise the workload or effectively manage the risks of providing pharmacy services |
Concerted effort to recruit staff. In the absence of appropriate staff recruit inexperienced staff and place of NVQ 2 dispensing course. |
27/06/2019 | 19/09/2019 |
| 3.1 | The pharmacy team do not clean or maintain the pharmacy to make sure it is a suitable environment for the services being provided. And, blocked fire exits and trip hazards means there are risks to the health and safety of staff. |
Remove any hazard that may cause health and safety issues to staff. Ensure all staff take time out to follow the cleaning rota on a regular basis. |
27/06/2019 | 19/09/2019 |
| 4.3 | Pharmacy team members don’t regularly check the expiry date on medicines. And, there is evidence of out of date medicines on the shelves. They do not monitor temperatures in the medicines' fridge. So, there is a risk they can supply medicines to people that may not be safe to use. |
Ensure staff are given time away from dispensing duties on a regular basis so date checking is done. |
27/06/2019 | 19/09/2019 |
| 4.2 | The pharmacy doesn’t have a robust process to supply medicines in multi-compartmental compliance packs. And it doesn’t plan its workload well. Pharmacy team members prepare and check multi-compartmental compliance packs without prescriptions. They use records that are unclear and confusing. They prepare the packs under pressure because they don't receive prescriptions on time. And, the area where they dispense the packs is untidy and cluttered. So, there is a significant risk of mistakes being made. |
Multi compliance pack backing sheets re-written with clear wording. |
27/06/2019 | 19/09/2019 |
Pharmacy inspections
Inspection reports and learning from inspections