| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.3 | The pharmacy does not do enough to ensure that team members are clear about their roles and responsibilities. Some team members are not allways clear about when they should refer to more appropriately skilled members of the team. |
Staff members will be briefed about their job roles and duties by the pharmacy manager/RP. Team members understanding of their roles and responsibilities will be monitored and annual performance reviews to be carried out. Team members to re-read relevant SOPs to ensure they follow the pharmacy’s procedures for everyday tasks, as well as to better understand their roles and responsibilities. Appropriate training and support to be provided when required. |
06/12/2019 | 15/12/2019 |
| 1.2 | The pharmacy team does not do not do enough to gather information in a way that will help it review what has gone wrong so that it can learn and improve. |
Managing error log: All Pharmacy team members to be trained on the importance of maintaining a log of near misses and errors, in order to minimise dispensing error risk. As an action plan, the pharmacy manager and the regular responsible pharmacy (RP) will ensure the near miss log utilised every time a dispensing mistake happens. Complaints: Pharmacy will maintain a record of any complaints. Complaints to be dealt with in a timely manner as per procedure. Where issues are identified they will be discussed with the team and root causes identified. |
06/12/2019 | 09/01/2020 |
| 1.6 | The pharmacy does not keep all of its records in the way the law requires. |
The Pharmacy team to review record keeping, to ensure that all records are kept in accordance with requirements including: |
06/12/2019 | 09/01/2020 |
| 2.2 | less experienced team members are not provided with enough training and support to develop their skills and carry out their tasks effectively. |
Members of staff who are not currently undertaking a training programme will be enrolled into dispensing assistant and/or counter assistant training courses as appropriate for their roles. Staff member(s) who are currently undergoing training programme will have their progress assessed by the pharmacy manager, and additional support will be offered where needed to complete their current training programme. |
06/12/2019 | 15/12/2019 |
| 4.2 | Team members do not always give people the advice and information they need to help them use their medicines safely and properly. The pharmacy does not do enough to ensure that its team members follow procedures which are safe and effective. |
Team members to follow the SOP for handing out dispensed medication. Team members also to review their understanding of procedures to follow when selling OTC medicines. Counselling to be provided as appropriate. Multi-compartment compliance packs will now include patient information leaflets and descriptions of individual tablets and capsules, to help patients and carers identify the medications. |
06/12/2019 | 21/01/2020 |
| 4.3 | The pharmacy doesn't carry out all of its checks as thoroughly as it could. And, it does not always properly label medicines which are not in their original packs. |
Date checking: The team will conduct an expiry date check on all stock on a regular basis, and records will be kept. The team will highlight stock with shorter expiry. Labelling medication: All stock to be stored in accordance with the manufacturer’s packaging requirements. |
06/12/2019 | 09/01/2020 |
Pharmacy inspections
Inspection reports and learning from inspections