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Pharmacy inspections

Inspection reports and learning from inspections

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Moin's Chemist (1107722) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy fails to identify and manage all of the risks associated with the services provided. Including the risks with the supply of medicines in compliance packs and the storage of medicines.

Reinforce with the team, SOP for dispensing medicines including the need to have all dispensed and checked boxes initialled, by 2 separate trained individuals as per best practice. With a clear audit trail record all near misses and review on the portal once a month with team and record interventions as evidence of learning from changes applied.
All Current SOPs to be reviewed and updated to reflect current practice, whereby all prescriptions undergoing accuracy check by individual other than pharmacist will be clinically checked by a pharmacist and recorded in a format that is auditable.

17/01/2024 18/02/2024
4.3

The pharmacy does not always store all of its medicines in accordance with legal requirements.

A new CD cabinet that meets cd regulations will be procured and fitted appropriately in the main dispensary for the purpose of storing methadone due for collection on the respective day.

17/01/2024 05/02/2024
4.2

The pharmacy does not have adequate checking procedures in place to check that medicines supplied in compliance packs are always appropriate for the people taking them.

Clinical checks to be conducted on a monthly basis and recorded to provide an audit trail.
Changes to medication to be recorded separately and clinically checked by pharmacist. The above to be audited monthly to ensure all checks have been recorded.

17/01/2024 09/02/2024