Beacon Pharmacy (1116173) - Improvement action plan

The pharmacy does not routinely assess the key risks to its services. There is evidence that team members do not always work in accordance with the pharmacy's procedures, creating risk. The pharmacy does not keep some pharmacy records in accordance with legal and regulatory requirements. And there is evidence that its processes for embedding learning from mistakes is not effective. This has led the team to make related serious mistakes on more than one occasion.

Pharmacy team to read SOPs and refresh on current processes. All training records for all current procedures to be accessible for all team members.

The team to regularly record near misses and clearly state if a day has none to record. A monthly review of the near misses to be completed to reflect and detect repetitive errors which can then be risk reviewed.

To operate with clear record keeping e.g. one RP record, fridge temperature recording for all fridge units on one document. The fridge units to be clearly identified.

Office/consultation room to be cleared and organised with all files stored clearly ensuring all team members and locums can access e.g. private prescription file.
CD weekly balance check to be overseen by accountable officer within branch alongside pharmacist.

An extra CD safe to be fitted to allow collections to be kept separate and freeing up space in the current safe.