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Pharmacy inspections

Inspection reports and learning from inspections

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HMP Oakwood (1109653) - Improvement action plan

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

The pharmacy does not identify and manage all the risks associated with delivering its services. The pharmacy is extremely busy and low staffing levels and external pressures are cited as contributory factors in recent recorded errors.

Near miss training to be held with the team to ensure they are all fully aware of what is required.

Near miss recording to occur every day.

Actions and learnings to be discussed and documented as per company guidelines

Near miss review to commence every month in line with company guidelines and all team members briefed.

All colleagues to re-read and re-sign all SOPs including the use of the professional tick method.

Review of staffing profile to highlight potential gaps and ensure adequate cover across opening hours of branch.

23/06/2021 25/06/2021
1.2

The pharmacy team members sometimes do not follow their written procedures which leads to mistakes.

As 1.1 above

23/06/2021 25/06/2021
2.1

The pharmacy does not have enough staff to manage its large workload safely. Staffing levels have been cited as factors in recent errors.

Review of staffing profile to highlight potential gaps and ensure adequate cover across opening hours of branch.

Staffing rota to be created following the review.

All sickness to be managed as per company procedures and guidance

23/06/2021 25/06/2021