| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not have a robust process implemented to identify, manage and learn from near miss errors and dispensing incidents. |
All near miss errors and dispensing incident logs are to be filled in more robustly and a review of the errors with staff members will be done on how to improve and minimise every quarter. Also an SOP for near misses and incidents will be reviewed to ensure all staff adheres to it. |
25/03/2022 | 27/06/2022 |
| 1.8 | The pharmacist and team members do not have up-to-date safeguarding training to identify and help vulnerable people that access pharmacy services. They do not have the necessary details or knowledge of who to contact to report a concern. |
All pharmacy staff is to complete up to date CPPE training in safeguarding and help vulnerable people that access pharmacy services. We will make a signposting document which will have all the relevant names and contact details. All staff will be advised that if they have any concerns then they can anonymously report it using the contact booklet. |
25/03/2022 | 27/06/2022 |
| 3.3 | The pharmacy doesn’t have adequate facilities to complete personal and professional tasks requiring hot and cold water. |
We will assign a company to install hot water in the toilet and also give us another supply of water from the sink in the back room. |
25/03/2022 | 27/06/2022 |
| 4.3 | The pharmacy doesn’t adequately store or manage all of its medicines appropriately. It doesn't have robust stock control processes. It has expired medicines on its shelves. And it doesn’t have effective arrangements to identify and remove these medicines. |
The pharmacist will make a date checking procedure which will be implemented weekly in which staff can follow and reduce stock I.e., dispose of expired stock, stock rotation, not ordering excess stock. A cleaning rota will also be implemented. A date checking SOP will be implemented so all staff can understand and adhere to it. |
25/03/2022 | 27/06/2022 |
Pharmacy inspections
Inspection reports and learning from inspections