| 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. |
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 |