| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | Pharmacy team members do not have access to any standard operating procedures as they do not have access to the company intranet. This could mean that they are not working in the safest, most efficient way which could compromise patient safety. |
All Staff members have been provided access to the staff portal hosted on jhootspharmacy.com where they can access and sign all SOPs. |
04/06/2025 | 03/06/2025 |
| 4.3 | The pharmacy does not store controlled drugs awaiting destruction appropriately. This means that there is an increased risk of diversion and does not comply with the law. |
Team have ensured all CD’s requiring safe custody are stored in an appropriate CD cabinet. Arrangements have been made for expired CD’s to be destroyed in the presence of an AW. |
04/06/2025 | 03/06/2025 |