| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | There is evidence that confidential waste is not being appropriately stored and destroyed. The pharmacy has significant amounts of confidential waste accumulating in different areas of the pharmacy that has not been routinely disposed of. This includes constantly storing sensitive information in an unlocked consultation room and at the home of a member of staff. In addition, the pharmacy does not inform people about how their private information is maintained, and people's sensitive information can be seen from the way signatures are obtained during the delivery service |
Confidential waste has been removed. We do shred our confidential waste in pharmacy at the end of every months. Due to time strain and busy December month, we have been unable to clear them from site. |
14/02/2020 | 28/04/2020 |
| 1.6 | The pharmacy's records are not always maintained in line with legal requirements. This includes the RP record, records of unlicensed medicines and private prescriptions. The pharmacy has not verified that a discrepancy identified in the registers for a controlled drug has since been rectified |
The pharmacy has now maintained all records. CD balance is checked on a regular basis, preferably weekly. There are CD discrepancies. These have occurred during installing a BD ROWA that resulted in the complete destruction of our dispensary. We have not been able to identify the cause and we are still looking for it. |
14/02/2020 | 28/04/2020 |
| 1.1 | The pharmacy is not identifying and managing several risks associated with its services as indicated under the relevant failed standards and principles below. There is also no evidence that the team has read the pharmacy's standard operating procedures and the staff are not always working in accordance with them |
The pharmacy is now managing all risks associated with dispensing. We monitor all near miss errors constantly. Since April 2019, we have installed a BD Rowa to minimize and possibly eliminate all errors. This has reduced near miss errors to the lowest level. |
14/02/2020 | 28/04/2020 |
| 2.2 | The pharmacy is not meeting the GPhC's minimum training requirements for the team as some members of the pharmacy team are undertaking tasks without being enrolled on accredited training appropriate for this and have been working at the pharmacy for longer than three months |
Putting split packs inside BD ROWA requires only one skill, counting how many tablets or capsules in a box. The driver does not do it in normal circumstances. I have informed him not to do it again |
14/02/2020 | 28/04/2020 |
| 3.1 | Pharmacy services are not provided from an environment that is appropriate for the provision of healthcare services. Most of the pharmacy is extremely cluttered, this includes the consultation room. This has left little clear work and floor space. This situation is unsafe |
Pharmacy environment is appropriate, but cluttered. I acknowledge this. We are doing our best to remove clutter. |
14/02/2020 | 28/04/2020 |
| 4.3 | Controlled drugs are not stored in accordance with safe custody requirements and there is insufficient evidence that medicines that require refrigeration are stored in appropriate conditions |
CD cabinet has been bolted to the floor straight after inspection. We have two fridges and both are now in fully functional state. We have planned to get a tall fridge and remove the current fridges very soon. |
14/02/2020 | 28/04/2020 |
| 5.2 | The cabinet used to store Controlled Drugs is in breach of the Safe Custody Regulations as it has not been bolted to the wall or floor and is a free-standing unit. In addition, one of the pharmacy fridges has a broken temperature monitor. The pharmacy cannot therefore assess that it is operating at the appropriate temperature of between two and eight degrees Celsius and that medicines have been stored here appropriately |
CD cabinet has been bolted to the floor straight after inspection. We have two fridges and both are now in fully functional state. We have planned to get a tall fridge and remove the current fridges very soon. |
14/02/2020 | 28/04/2020 |
Pharmacy inspections
Inspection reports and learning from inspections