| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has not identified or managed several risks associated with its services. The team are not recording or reviewing mistakes that occur during the dispensing process, there is little evidence of remedial activity or learning occurring in response to incidents and there is no information on display about the pharmacy's complaints process. Pharmacy staff are not trained on recent developments in data protection laws, people are not informed how their private information is maintained and their confidential information is at risk from the way the consultation room is used as well as from the delivery service. Team members are not trained on safeguarding the welfare of vulnerable people and they are not segregating date-expired Controlled Drugs clearly from those that have been returned by the public for disposal. People prescribed higher risk medicines are not identified, they are not counselled, relevant parameters are not checked or details documented |
- Each team member is responsible for recording their near misses in the near miss register. These will be reviewed monthly in a team meeting with the team and the manager so that they can evaluate and learn from their mistakes. Any errors are reported directly to NRLS |
04/07/2019 | 05/07/2019 |
| 1.2 | There is not enough assurance that the pharmacy has up-to-date written Standard Operating Procedures in place to cover services and to maintain people's privacy. There are two sets of operating procedures present and neither fully reflect the pharmacy's current services. Staff have not read or signed these and there are details missing from the pharmacy's written Information Governance procedures |
Standardised SOP’s across the group utilised, (NPA templates allowing for branch variations where applicable) to be completed by every member of the team. Where these templates do not cover a store specific service/provision, the manager and the superintendent will create a local SOP which will be read and signed by the team in branch. All information governance procedures are to be reviewed and updated in the time specified. |
04/07/2019 | 05/07/2019 |