| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | Records in the pharmacy are not complete and do not accurately reflect the activity of the pharmacy. |
Records for unlicensed medicines production batches are available and are up to date. The new locum pharmacist logs on every day and out when she leaves at the end of the day. |
11/06/2020 | 27/05/2020 |
| 1.1 | The risks associated with the preparation of unlicensed products are not appropriately managed. |
Risk assessments have been prepared. |
11/06/2020 | 27/05/2020 |
| 1.2 | The quality of the unlicensed products made by the pharmacy is not assessed. |
Up to now the quality of the products has been assessed by the clinics that order and reorder them for their patients. However we are happy to get the full analysis and assay completed. This may take some time due to the current situation with coronavirus but we will try and get these done as soon as possible. |
11/06/2020 | 27/05/2020 |
| 1.3 | Staff complete tasks in the absence of the responsible pharmacist which they should not be doing. |
Staff were only ever authorised to prepare items whilst waiting for pharmacist and not to hand out anything without the pharmacist’s approval. Nothing was or has been authorised to go out without the pharmacist’s checking and approval. |
11/06/2020 | 27/05/2020 |
| 2.2 | There is a lack of supervisory control in the pharmacy as the trainee dispenser is allowed to carry out tasks alone in the pharmacy. |
The trainee dispenser has left our employment and we have not yet been able to employ another. All tasks now carried out by locum pharmacist who is there from the morning. |
11/06/2020 | 27/05/2020 |
| 4.2 | Unlicensed products are not prepared in accordance with GPhC guidance. |
Raw materials that are not used in the production of minoxidil need to be segregated and disposed of. |
11/06/2020 | 27/05/2020 |
| 4.3 | Raw materials for the preparation of unlicensed medicines are not stored appropriately or managed well. |
Raw materials for the preparation of unlicensed medicines are to be stored in their appropriate environments. The flammable raw materials are kept in the flammables cupboard. To improve on this situation, a separate cupboard can be made available for the raw materials which are currently kept on the shelf. |
11/06/2020 | 27/05/2020 |
Pharmacy inspections
Inspection reports and learning from inspections