| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not manage some of the key risks to patient safety. Team members do not always follow the written procedures, including for date checking and controlled drug management resulting in errors. |
•All staff members read pharmacy SOPs and sign to confirm understanding. |
14/02/2024 | 19/02/2024 |
| 1.2 | The pharmacy makes mistakes and it does not record and report these mistakes in a timely manner to learn from them and prevent future mistakes. This includes those for some higher-risk medicines. |
•All staff to read, sign and follow SOP “Dealing with near misses and errors”. |
14/02/2024 | 19/02/2024 |
| 1.6 | The pharmacy does not maintain accurate records for all its higher-risk medicines. And it does not resolve problems with the accuracy of these records in a timely manner. |
•Controlled drug balance checks to be performed on a weekly basis. |
31/01/2024 | 19/02/2024 |
| 3.1 | Areas of the pharmacy are excessively cluttered and untidy increasing the risk of errors occurring and team members falling. |
•Deep clean and tidying away of clutter carried out. |
14/02/2024 | 19/02/2024 |
| 4.3 | The pharmacy does not have effective arrangements to identify and remove medicines that have expired. |
•Full dispensary and front shop date check. Date checking policy updated and date checking matrix completed to document completion of check. |
14/02/2024 | 19/02/2024 |
Pharmacy inspections
Inspection reports and learning from inspections