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. |
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. |
17/01/2024 | 09/02/2024 |