| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy’s standard operating procedures (SOPs) are several years past the date that they had been identified for review and they contain outdated references. This increases the chances of the pharmacy team not working in accordance with latest best practice and processes. |
These are in the process of being updated and moved online to google drive. This will be ready, and staff will read and sign these. These will be available to the site within 21 days i.e. 11th June 2025 because they are being reviewed and finalised at present. |
19/06/2025 | 11/06/2025 |
| 1.2 | The pharmacy team members are informed of their individual near miss mistakes but they do not record them. This means that further learning opportunities that could be identified by undertaking a regular review of the records for patterns and trends could be missed. |
Updated Near Miss log system to be implemented within 14 days i.e. 4th June 2025 if not earlier. |
19/06/2025 | 11/06/2025 |
Pharmacy inspections
Inspection reports and learning from inspections