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Pharmacy inspections

Inspection reports and learning from inspections

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Lancaster University Pharmacy (9011583) - Improvement action plan

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

There is a lack of managerial oversight which means the pharmacy’s systems and procedures have not been properly developed or implemented.
The pharmacy has written procedures in place, but these have not been read by members of the pharmacy team. So they may not always work safely or effectively.

Superintendent/Director Pharmacists are to visit at least once every two weeks. Everyone to read and sign SOP’s including all locums and current staff.

15/11/2021 08/11/2021
1.6

The pharmacy does not keep a responsible pharmacist record.

Speaking to Rxweb, to organise a online RP log which is easily accessible and to be able to see, who has worked and which months.

15/11/2021 08/11/2021
2.1

There are not always enough people working at the pharmacy to provide all of its services safely and effectively.

Recruitment of an additional two staff members. We have already recruited one extra person, an advert will be placed within the university and applicants to apply within the pharmacy.

15/11/2021 08/11/2021
4.3

Controlled drugs are not stored appropriately. Stock checking procedures are not always followed so the pharmacy cannot show that its medicines are always fit for purpose.

CD cabinet to be secured safely. Stock checking log to be printed and completed as soon as possible, then every 3months after.

15/11/2021 08/11/2021