| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not identify all the risks associated with implementing a new operating system. And it has not put sufficient safety measures into place to maintain safe and effective working practices. |
Staff to be trained on SaferCare process and on the near miss process. All near misses to be recorded in full and in a timely manner. SaferCare to be completed weekly as per company process. Near misses and patient safety incidents to be reviewed as part of monthly SaferCare process and reviewed with the whole team as a SaferCare briefing to ensure learning opportunities are shared. If there are any risks identified during completion of SaferCare and Near Miss, these concerns are raised appropriately to the Regional Manager. LS online learning modules to be completed for each colleague. |
13/09/2022 | 15/09/2022 |
| 1.6 | The pharmacy does not have robust processes to maintain the legal records it needs to by law, including the responsible pharmacist record using the new operating system. |
Responsible Pharmacist to log into legal RP record daily. Pharmacy Manager to ensure completion of this. All team members to be trained on record keeping requirements for Private Prescriptions. Any outstanding Private Prescriptions to be entered into the Private Prescription Register. |
13/09/2022 | 15/09/2022 |
| 2.1 | The pharmacy team struggles to manage the workload and at the same time acquire new skills to use the updated computer system effectively. This impacts on the pharmacy team's capacity to provide pharmacy services safely and effectively. |
Pharmacy team to continue with internal validation process to enable offsite dispensing hub to support with workload within the pharmacy. |
13/09/2022 | 15/09/2022 |
Pharmacy inspections
Inspection reports and learning from inspections