| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The Responsible Pharmacist record is not maintained adequately. |
Check at the beginning of the shift and at the end of the shift that this legal record has been completed |
14/03/2024 | 14/03/2024 |
| 1.1 | The pharmacy fails to adequately manage the risks it poses to the public by allowing its team to continually not follow the SOP for dispensing of prescriptions. They also carry out dispensing activity when the Responsible Pharmacist is not present or signed in, contrary to the relevant SOP. Also, they do not balance the controlled drugs regularly. |
Have a book with specified daily tasks for all staff indicating what can be done when the Responsible Pharmacist is not present and what cannot be done when the Responsible Pharmacist has not sign in and not present. Get all staff to read and sign. CD balance check to be carried out weekly |
14/03/2024 | 14/03/2024 |
| 2.1 | The pharmacy allows its team members to work unsupervised for significant periods of time while they are still undergoing their training. |
Staff to be supervised at all times |
14/03/2024 | 14/03/2024 |
| 2.2 | There was no clear to show that the dispensing assistant had been enrolled on the required training course and was progressing with the training. |
Training record cards to be maintained. |
14/03/2024 | 14/03/2024 |
| 4.3 | The pharmacy is unable to clearly account for significant amounts of missing stock that had been obtained over a prolonged period of time. |
Make available consignment notes. |
14/03/2024 | 14/03/2024 |
| 4.2 | The pharmacy was unable to show that it took any additional precautions when dispensing high-risk medicines. And it leaves medicines in unlabelled compliance packs for extended periods of time, increasing the risk of error. |
High risks medication record cards to be used and to be on display all times. |
14/03/2024 | 14/03/2024 |
Pharmacy inspections
Inspection reports and learning from inspections