| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 2.2 | Team members do not always have the suitable qualifications for their roles and they are not enrolled on suitable training programmes within the required timeframe. This could mean that they lack the relevant knowledge and skills to carry out their roles effectively. |
Both members of staff have now been enrolled onto the Buttercups HCA course. |
27/08/2025 | 11/08/2025 |
| 4.3 | The pharmacy cannot demonstrate that it appropriately stores and manages all of its medicines to ensure that they are fit for supply. It does not maintain robust date checking records and several expired medicines were identified on the shelves. There are some medications which are stored outside of the original packaging with no recorded batch number and expiry date. And returned and expired medicines are not collected regularly leading to a build up of waste in the pharmacy. |
The whole branch has been fully date checked as per the attached matrix. Any medications stored outside of their original packaging have been DOOPd. NHS Birmingham and Solihull ICB have been contacted to uplift existing DOOP containers and the DOOP has been collected twice since the 22/7/25 inspection. DOOP volume will be monitored by the Pharmacist Manager to ensure it does not become too much and the ICB contacted in advance of the scheduled visit if needed. |
27/08/2025 | 11/08/2025 |
Pharmacy inspections
Inspection reports and learning from inspections