| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has some written standard operating procedures (SOPs) but these are not well organised and it cannot always demonstrate clearly which versions are in current use. Also, the pharmacy cannot show that all team members have read the SOPs they should be following in the pharmacy. This means team members may not be working in the most safe and efficient way. |
The SOPs folder has been reorganised and checked for updates. Team members will familiarise themselves with the SOPs and with any updates. |
25/07/2025 | 30/07/2025 |
| 2.2 | A pharmacy team member has not been enrolled on or completed an accredited training course relevant to their role. This means they are carrying out tasks for which they are not appropriately trained or doing the right training. |
The team member will be enrolled on an accredited training course relevant to their role. |
25/07/2025 | 17/07/2025 |
| 4.3 | The pharmacy does not store all medicines requiring refrigeration appropriately. And it does not keep |
Any medicines not stored appropriately have been removed to ensure all medicines requiring cold storage are stored at the correct temperatures. |
25/07/2025 | 30/07/2025 |