| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.8 | Staff are unaware of safeguarding procedures. |
The staff members have been given instruction to go through the safeguarding procedures again and sign the paper to make sure they have gone through. The manager will also arrange training session once a year to freshen up the knowledge on the different topic as required. |
22/11/2023 | 24/11/2023 |
| 1.2 | The pharmacy does not adequately record near misses and errors to help the team to learn from their mistakes. |
Pharmacy have prepared concise summary of the new procedures implemented for near misses and errors in Cowplain pharmacy: Reporting Protocol: All staff members have received strict instructions to immediately report any near misses or errors. Barcode Reminder: To enhance record-keeping, barcodes have been generated and placed in various working and dispensing areas. These serve as reminders for staff members to promptly record near misses and errors. Manager Oversight: The manager will regularly monitor the near miss records. This includes conducting monthly, quarterly, and yearly analyses to ensure compliance and identify trends. These measures aim to improve safety and learning within the pharmacy. |
22/11/2023 | 24/11/2023 |
| 1.1 | The pharmacy's standard operating procedures (SOPs) are not up to date and staff members have not signed them to say they will follow appropriate and agreed procedures for providing the pharmacy's services. |
The manager has received instructions to promptly update the Standard Operating Procedure (SOP). Although the staff members initially reviewed the SOP upon joining the pharmacy, they inadvertently neglected to sign it. However, all staff members have now been directed to revisit the SOP and sign it at the appropriate location. Going forward, the manager will ensure timely SOP updates and diligently verify that new staff members complete the necessary signing process. |
22/11/2023 | 24/11/2023 |
| 2.2 | Staff are not adequately trained for the services they provide and the tasks they complete. |
To make sure we don’t compromise with the service we provide recently, there was a big change over in the staffing level in the pharmacy. As a result, many of the staff members are under training. The manager and other train staff members are working extra/over time not only to train them but also to observe them how they are handing the situation. The manager has been instructed to provide all necessary help and support to train the staff as soon as possible. |
22/11/2023 | 24/11/2023 |
| 4.3 | Staff are not able to always identify people taking high risk medicines and provide them with the appropriate information to ensure they take their medicines safely. |
The regular pharmacists have been advised to train the new staff members on high-risk drugs and to give relevant information/advise on he/she is working in the pharmacy. The manager is also going to make list of high-risk drugs and going to distribute amongst the staff. |
22/11/2023 | 24/11/2023 |
| 4.4 | The pharmacy does not action alerts in a timely manner risking the safety of the products it supplies. |
The manager has allocated different tasks to different members of the staff to make sure action on various aspects taken in timely manners. The manager going to observe/ monitor the alert record weekly, monthly, quarterly, and yearly manner. The manager is planning to record the alerts electronically for the easy access. All alerts received from MHRA regarding recall/ product safely will be immediate actioned and implement advice on alert that is stop product distribution or resent to wholesalers or pass safety message to patient. |
22/11/2023 | 24/11/2023 |
Pharmacy inspections
Inspection reports and learning from inspections