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Pharmacy inspections

Inspection reports and learning from inspections

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Murrayfield Pharmacy (1125510) - Improvement action plan

GPhC Reference 1125510

Standard not met	Reason	Action being taken by the Pharmacy	By when	Notification By Pharmacy Improvements Made
1.1	The pharmacy does not manage all risks effectively. The team does not always follow standard processes, such as near miss recording, date checking, fridge temperature monitoring and the procedure relating to managed repeat prescriptions.	All colleagues to be retrained on near miss recording with a near miss review taking place monthly on an ongoing basis. Safer Care to be fully relaunched in branch CD balance checks to be carried out weekly CD registers to be organised and maintained in proper fashion with any damaged registers repaired. Dispensary to be completely tidied, organised and date checked including the fridge and CD cabinets. Fridge records to be organised and completed in full. All repeat prescriptions now ordered up to a week ahead and will be maintained on a weekly basis (ordering the next week in advance). All colleagues to read and signed all SOPs appropriate to role including newly issued.	22/10/2019	30/10/2019
1.2	The pharmacy does not routinely monitor and review the safety and quality of its services. And the team members don’t record their near miss errors. So, there is the risk they don’t learn from mistakes or make improvements to services.	Actions as per standard 1.1	22/10/2019	30/10/2019
2.1	The pharmacy does not always have enough qualified and experienced staff members to safely deliver its services in a timely manner. And this has led to a backlog in the workload and an untidy environment. The current staff do not always have the knowledge of the pharmacy to manage the workload effectively, as they do not work regularly in the pharmacy.	Staff levels and staff scheduling to be reviewed to ensure that colleagues are in the right place at the right time to manage the workload effectively. (A new technician has started last week, a regular pharmacist has been recruited, a regular manager is now in place and ongoing recruiting for extra additional dispensers is ongoing). Colleague rota to be created and maintained All colleagues to receive Care Home training	22/10/2019	30/10/2019
4.2	The pharmacy team, due to pressure and workload, doesn’t follow robust processes to ensure the safe and effective delivery of services. Some patient group directions are out of date. And the pharmacist may be missing opportunities to make clinical interventions, such as for valproate and for interactions between medicines.	All PGDs to be reviewed with any out of date to be replaced in the folder Valproate information reordered from Sanofi and all colleagues to complete Valproate training Valproate information to be shared with the care home for their patient Colleagues to be refreshed on CMS and training provided where needed.	22/10/2019	30/10/2019
4.3	The pharmacy team doesn’t regularly complete the required checks on medicines and equipment to make sure medicines are fit for purpose. Some medicines are out-of-date. And fridge temperature monitoring is inadequate.	Fridge temperature actions and date checking actions as per 1.2 and 1.2	22/10/2019	30/10/2019

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