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Pharmacy inspections

Inspection reports and learning from inspections

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Alconbury Chemist (9010858) - Improvement action plan

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.
In relation to dealing with dispensing errors, the team has been reminded of the need to always involve the SI at the earliest opportunity. And to contact NPA for support in the event of an error.

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.
SOPs will be revisited.

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.
Anyone not on the appropriate training course will not engage in work not applicable to their job role eg. Counter staff will not be involved in the dispensing process.

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.
Medicines are no longer stored in the smaller fridge with immediate effect.
The larger fridge is less than 6 months old and temperature is regulated and recorded. Action will be taken to contact Coolmed and/or look at the manufacturers literature to ensure staff are clear on how to operate the regulation of temperature, including what action to take in the event of irregular readings.

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.
(To note - the pharmacy has stopped taking on further requests for multi-compartment compliance packs as of three-four months ago.)

12/12/2023 22/02/2024