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Pharmacy inspections

Inspection reports and learning from inspections

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Wel Pharm Pharmacy (9010255) - Improvement action plan

GPhC Reference 9010255

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy cannot demonstrate that it keeps the records it needs to by law, particularly records about its controlled drugs. It cannot show that it retains private prescriptions it has dispensed. And it does not always fill in its responsible pharmacist records appropriately.

All necessary records for the safe provision of pharmacy services are kept and maintained. All records concerning controlled drugs are
kept and maintained appropriately. The private prescription book will also be maintained regularly and all private
prescriptions are to be kept in a separate folder. The responsible pharmacist record is now filled appropriately after the
recommendations made. The CD balance check will be conducted once a month on the last Sunday of every month.

 27/09/2024 27/09/2024
1.2

The pharmacy cannot demonstrate that it takes appropriate action when dispensing mistakes occur.

The pharmacy has in place a dispensing error record folder and also a near miss record folder. These will be reviewed and monitored on a regular basis and any actions or recommendations will be shared with the dispensing team.

 27/09/2024 27/09/2024
1.5

The pharmacy does not always have appropriate indemnity insurance, or robust processes in place to ensure that it is always appropriately insured.

The Pharmacy has appropriate indemnity
insurance in place with the NPA and has
arrangements in place to ensure it will be
renewed automatically.

 27/09/2024 27/09/2024
2.2

The pharmacy does not ensure that all its team members do the appropriate training for their roles.

We have now updated our SOPs. We have
now taken to ensure all team members
specifically, the pharmacy delivery drivers go on a more advanced training course. These will all be reviewed and monitored on a regular basis.

 27/09/2024 27/09/2024
3.1

There are significant health and safety risks in the pharmacy including potential tripping hazards and a blocked emergency exit.

The filing cabinet that was partially blocking the emergency exit has now been removed. All tripping hazards have now been removed from the dispensary floor, mainly the delivery boxes and prescriptions awaiting to be delivered. The Pharmacy has undergone a complete clean up and will be reviewed and
monitored on a regular basis.

 27/09/2024 27/09/2024
4.3

The pharmacy does not store all its medicines appropriately or securely. It does not ensure that all its stock medicines are labelled correctly. And it does not always store waste medicines that require secure storage in line with requirements.

All medicines are now stored appropriately and securely. All returned medicines have now all been actioned and put in doop bins. All
waste medicines are all actioned correctly and any that required safe storage has been actioned. All waste medicines are to be actioned according to our SOP and we have
now put in place that all waste medicines coming into the pharmacy are to be double checked by the pharmacist present so if there
is any medicines requiring safe storage it will be actioned straight away. All waste medicines are to be actioned accordingly by the end of
each working week. All sock medicines are labelled correctly and there are no loose stock medicines on the shelves. Date checking is to be conducted once a month on the first working day of the month, all sections of the pharmacy are to be allocated to certain staff dispensary members. Each staff will check their own section and action once a month on the first day of the month. All sections in the
Pharmacy are to be allocated.

 11/10/2024 27/09/2024
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