| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy's records are not always maintained in line with legal requirements and the team has been unable to demonstrate that private prescriptions are retained for the required period. |
Staff to complete prescriber details on PMR for private prescriptions. Private prescriptions to be filed into folder. |
06/08/2019 | 14/08/2019 |
| 1.1 | The pharmacy has not identified or managed several risks associated with its services. The team is not recording or reviewing mistakes that occur during the dispensing process, there is little evidence of remedial activity or learning occurring in response to incidents and there is no information on display about the pharmacy's complaints process. Pharmacy staff are not trained on recent developments in data protection laws and team members are not trained on safeguarding the welfare of vulnerable people. People prescribed higher risk medicines are not identified, they are not counselled, relevant parameters are not checked or details documented. The pharmacy is storing multi-compartment compliance aids unsealed overnight and on the floor, a documented owing system is not being used, queries are managed in a haphazard way and prescriptions for medicines that should be kept more secure are being taken out on delivery. The pharmacy had no valid indemnity insurance in place at the time of inspection although this has subsequently been implemented. |
A lock has been placed onto the consultation room for further security and reducing risk to access. Near misses documented at time of error. Monthly reviews carried out and available to all pharmacy staff. Complaints procedure on display. Training provided regarding GDPR and safeguarding for all staff, and will be included in induction training, reviewed annually. Stickers to identify CDs and high risk medication to be put on relevant bags and prescriptions. Document owings using available stationery. Compliance aids will only be assembled once all queries, checks and stock complete. NPA to send email reminders and reminder in post regarding insurance renewal. |
06/08/2019 | 07/08/2019 |
| 2.2 | Not all of the staff have the appropriate skills, qualifications and competence for their role and the tasks they carry out. The pharmacy has not provided enough reassurance that the GPhC's minimum training requirements for the team are met and members of the pharmacy team are undertaking tasks without being enrolled on accredited training appropriate for this. |
Further to our conversation, I can confirm that all staff have been put onto their relevant courses and I have re-inforced the importance of reading and understanding all other training material and SOP's which have been available to them via dropbox. |
06/08/2019 | 23/07/2019 |
| 4.3 | There is insufficient surety that stock is stored and managed appropriately. There are mixed batches, loose blisters, poorly labelled containers, access to some medicines that need to be kept more secure, evidence that patient returned medicines are stored close to dispensary stock and verifiable processes to routinely identify as well as remove date-expired medicines are lacking. |
Date checking matrix to be used when staff carries out this duty, identifying and removing - mixed batches, loose blisters will be part of date checking procedure. |
06/08/2019 | 14/08/2019 |
Pharmacy inspections
Inspection reports and learning from inspections