Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.1 | The pharmacy doesn’t have a robust system to monitor and learn from mistakes that its team members make during the dispensing process. |
Near Miss Procedure in play and Dispensing error procedure explained to all team members. |
28/12/2023 | 22/02/2024 |
1.3 | Team members do not all know what they can and cannot do when there is no pharmacist present in the pharmacy. |
Each staff member is being briefed regarding roles of all staff members in the pharmacy, so they have a clear understanding of legalities of an RP and their actions in line with this. |
12/12/2023 | 22/02/2024 |
2.2 | Some pharmacy team members are not doing the appropriate training for the roles they undertake. |
ALL staff are enrolled on the appropriate course, with the NPA. |
12/12/2023 | 22/02/2024 |
3.1 | There is insufficient clear space to prepare multi-compartment compliance packs safely. And the consultation room does not present a professional image to people receiving services. |
Both the shop and the consultation room will have a ‘mini’ overhaul, to encourage a professional image. This will mean reducing shop stock further and to create alternative space for storage (outside of the consultation area). We will plan to ensure good workflow with current set up. |
23/02/2024 | 22/02/2024 |
4.3 | The pharmacy cannot show that it stores medicines requiring refrigeration at the right temperatures. And medicines are not always kept in appropriately labelled containers. |
The use of unlabelled bottles/cartons of mixed batched medication for medicine storage has been stopped with immediate effect. |
12/12/2023 | 22/02/2024 |
4.2 | The pharmacy cannot show that it prepares multi-compartment compliance packs safely. |
We have worked relentlessly to make this process safe and efficient. I plan to set up a rota system for the workflow. |
12/12/2023 | 22/02/2024 |