| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | Some of the pharmacy's records are inaccurate or incomplete. This means that team members may not always be able to show what has happened. |
Additional training will be provided on ensuring adequate detail is put into incident reports or near miss logs to detail not only the root cause of the incident but also the learnings taken from the incident to prevent re-occurrence. Training on the storage and management of other pharmacy records will be provided to ensure accuracy moving forward. |
25/11/2021 | 12/12/2021 |
| 1.7 | The pharmacy does not display signs with information about its surveillance camera system which includes audio recording, so people may not be aware that they are being monitored. |
Signage notifying the public that video and audio recording is operational within the pharmacy has been supplied. It will be displayed clearly in view of the public. |
25/11/2021 | 12/12/2021 |
| 1.5 | The pharmacy cannot demonstrate that appropriate insurance arrangements are in place to cover the services provided. |
Details of the pharmacy’s professional indemnity and public liability insurance will be sent to the GPhC and up to date copies will be displayed in the pharmacy. |
25/11/2021 | 12/12/2021 |
| 1.1 | The pharmacy does not adequately identify and manage the risks associated with some of its services. It lacks effective contingency plans to manage unexpected disruptions. And it cannot always demonstrate that team members work within their competence, which may increase the risk of mistakes. |
A full audit SOPs held on site will be undertaken to ensure all SOPs are available. |
25/11/2021 | 12/12/2021 |
| 4.2 | Pharmacy services are not always effectively managed, which may increase risk. There is a lack of reliable audit trails and governance systems which means it may not always operate safely. |
Staff will be re-trained on the importance of scanning all prescriptions at each stage of the assembly process ensuring that accurate audit trails are available, regular checks will be completed to ensure that this is being followed. Staff will be re-trained on maintaining accurate fridge temperature audits for both the pharmacy clinical fridge and the COVID-19 vaccine fridge. |
25/11/2021 | 12/12/2021 |
| 4.3 | The pharmacy cannot always demonstrate that it takes appropriate steps to store and manage its medicines appropriately. |
All staff members will be re-trained on the correct storage of medicines, only medicines for disposal will be stored in the bathroom, there has been additional storage made available within the pharmacy and there should be no reason for this to occur in the future. Additional secure storage space has been made available so that all deliveries can be stored safely until leaving the pharmacy. |
25/11/2021 | 12/12/2021 |
Pharmacy inspections
Inspection reports and learning from inspections