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Pharmacy inspections

Inspection reports and learning from inspections

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R T Elliot Ltd (9011150) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy does not identify and manage all the risks to its services. It doesn’t have documented procedures for some key areas of its services. This includes the management of substance misuse services and the management of near miss errors and dispensing incidents. And there is evidence that not all pharmacy team members have read the procedures available.

• Dispensing incidents and near miss log to be reviewed by the pharmacist on a monthly basis. The findings of which are to be discussed with the team. Any patterns/issues to be addressed and implemented by the team.
• Substance misuse service; any change or suspension to a script, the script is now segregated with the dose to another safe. So there is no way in which the medication can be given out by mistake.
• The SOP’s will all be reviewed and updated accordingly to the new premises. All members of staff will read and sign.

09/04/2020 23/04/2020
4.3

The pharmacy doesn’t manage all its medicines appropriately. Pharmacy team members do not follow the pharmacy's procedures to regularly check the expiry dates of medicines. And there is evidence of out-of-date medicines on the shelves. So, there is a risk people may receive medicines that are not fit for purpose.

• Date checking rota to be enforced by the superintendent pharmacist. All shelves to be checked every three months and date checking log to be filled by appropriate member of staff.

09/04/2020 23/04/2020