| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 2.1 | The pharmacy does not have enough staff to keep up to date with its workload. |
• Review allocated colleague hours. Advertise vacancies identified. Explore the possibility of hiring additional colleagues to alleviate the workload pressure. |
14/07/2023 | 12/10/2023 |
| 3.1 | The pharmacy does not keep its premises tidy and free from tripping hazards. And its work surfaces are cluttered which only leaves it with very limited space for dispensing. |
• Re-brief the cleaning and tidying schedule to maintain a safe and clutter-free environment as per SOP • Re-brief Retrieval clearance every 8 weeks, contacting patients and removing uncollected scripts. • Increasing the dispensary footprint with more dispensing and storage space plus increased fridge capacity (floor plan attached). |
14/07/2023 | 12/10/2023 |
| 4.3 | The pharmacy does not have enough fridge space to always store its medicines requiring cold storage properly. And it does not always store its controlled drugs securely. |
• Additional fridge to be acquired for storage. • Increased footprint will allow for fridge capacity to be increased in the long term. • Re-briefing and training on our SOPs for the secure storage of controlled drugs, ensuring compliance with legal requirements and the patient returns SOP (specifically the handling of CD patient returns). |
14/07/2023 | 12/10/2023 |
Pharmacy inspections
Inspection reports and learning from inspections