| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not do enough to ensure that the risks associated with its services are identified or managed. |
Risk assessment for all services provided by the Pharmacy will be carried out and identified risk will be managed as a matter of urgency. All e-prescriptions will be printed and assembling and dispensing of medication will be done from the prescription and not the labels. |
01/06/2023 | 05/06/2023 |
| 1.6 | The pharmacy does not keep adequate responsible pharmacist or controlled drug records. |
The RP log will be reviewed to see any record misses and daily checks to make sure the RP log on and signs off during every shift. CD reconciliation will be carried out weekly. |
01/06/2023 | 05/06/2023 |
| 3.4 | The pharmacy is kept unlocked without supervision and it doesn't do enough to safeguard some of its stock from unauthorised access. |
The shutters will be closed when the New unit is unmanned. The sliding glass door shall be locked with its key. Stock will be moved to the registered unit after they are checked off after delivery. Application to register the new unit will be submitted as a matter of urgency. |
01/06/2023 | 05/06/2023 |
| 4.3 | There is poor management of medicines in the pharmacy and some medicines are stored in unregistered areas where access cannot be controlled. There is an inability to demonstrate how medicines remain fit for purpose and safe for people to take. |
No medication will be stored in the New unit until the unit is fully registered. Access to the unit will be restricted at all times. Date checking Matrix will be used to record our 3-monthly date checking of our stock. Fridge temperature log will be monitored to ensure entry is done daily. |
01/06/2023 | 05/06/2023 |
Pharmacy inspections
Inspection reports and learning from inspections