| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have written standard operating procedures available to the team so there is a risk that team members may not know the correct procedures to follow. |
We have been in the process of updating our SOPs to ensure they are comprehensive and aligned with best practices. We are pleased to confirm that we now have an updated version of our SOPs, which are readily accessible to all team members. This ensures that everyone can refer to the correct procedures as expected, reducing any risk of uncertainty in our operations. |
26/03/2025 | 27/03/2025 |
| 1.3 | The pharmacy team are not clear about what can and cannot be done in the absence of the Responsible Pharmacist. And there was evidence that dispensing activity had occurred while no Responsible Pharmacist was signed in. |
All pharmacy staff have undergone additional training to clarify what activities can and cannot be performed in the absence of the Responsible Pharmacist. |
26/03/2025 | 01/04/2025 |
| 2.2 | The pharmacy does not ensure that staff involved in the dispensing process do the right training for their role. Not all team members have completed or are enrolled on a relevant course and the pharmacy does not always have a pharmacist to deliver its services. |
All team members involved in the dispensing process are now enrolled in relevant accredited courses appropriate to their roles. Training progress is being closely monitored to ensure timely completion. |
26/03/2025 | 27/03/2025 |
Pharmacy inspections
Inspection reports and learning from inspections