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Pharmacy inspections

Inspection reports and learning from inspections

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Pines Pharmacy (1121888) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy does not identify and manage key risks with the dispensing and management of some of its higher-risk medicines. This includes the team's failure to carry out ongoing checks on the stock levels of these medicines.

SOPs for specific high risk medicines to be signed off by all dispensary staff. RP to ensure SOPs are followed.
SOPs to be produced for automated dispensing machine, to be signed off by all relevant staff .
Review of Near Miss events to be documented .
Feedback notice to be produced and displayed.
Training on Valproate Pregnancy Prevention programme to be given and information to be included in SOP pack detailing who has been trained.
RP logs to be completed at end of day

31/01/2024 08/02/2024
1.6

The pharmacy does not keep all its records complete and accurate. This includes for some of its higher-risk medicines. And it does not have its private prescription records available.

Registers for specific high risk medicines to be switched to paper based in the interim. Balance checks to be carried out not less than fortnightly and recorded in registers.
Private prescription register to be completed at same time as private prescription are given out

31/01/2024 08/02/2024
2.2

The pharmacy does not always enrol its team members on qualification training appropriate for their role in a timely manner.

All untrained staff to be enrolled on appropriate training course and supported by having study time set aside weekly

31/01/2024 08/02/2024
4.3

The pharmacy keeps some of its medicines in a way that creates a risk of unauthorised access.

All medicines that are accessible to members of the public, or other unauthorised personnel to be moved to a more appropriate area.

31/01/2024 18/03/2024