Maryhill Dispensary Ltd (9010455) - Improvement action plan

Record keeping arrangements are inadequate and the pharmacy cannot provide the necessary assurance it is safely managing some of its high-risk medicines.

The extra steps we have taken to make sure that all CD deliveries especially methadone are marked in the register
are that we have decided that there will be two signatures on all CD invoices which have been entered one of which will be either myself,
nichola or anne. All invoices will be kept on two separate clips one on the methadone workstation, and the other on the
pharmacist's checking work bench. At the end of the month these invoices will be checked again by imran before they are taken away from the premises for processing and storage. To add whenever our suppliers deliver a controlled drug this is signed for and checked by either nichola or anne or myself or any other RP.

The pharmacy does not safeguard the safety and security of all of its medicines. There is a lack of assurance to show that medicines requiring refrigeration are kept at the correct temperature.

The checks that are being carried out by SI or RP are we have started doing monthly CD checks, which include any discrepancies and any
out of date medicines which must be recorded. These discrepancies will also be investigated by the technician, RP, or SI and recorded.
Any CD patient returns must be recorded (in the controlled drugs destruction register) and destroyed using health board supplied doop kits.
Methadone checks will also be carried out monthly. This METHADONE stock check will be carried out electronically using methameasure.