| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy is not identifying and managing some risks associated with its services. At the point of inspection, the team could not locate the pharmacy's standard operating procedures (SOPs). It is therefore not possible to verify that the pharmacy has suitable processes in place to underpin its services and provide the team with guidance on internal tasks. |
Latest SOPs have been introduced and staff training has been provided. |
02/02/2024 | 06/02/2024 |
| 1.6 | The pharmacy has not maintained records of supplies made against private prescriptions in line with legal requirements. |
A special labelled alphabetical retrieval has been put in place for all the dispensed private prescriptions for record keeping. |
02/02/2024 | 06/02/2024 |
| 4.3 | Staff cannot show that they have been storing medicines requiring refrigeration at the appropriate temperatures. This compromises the safe supply of medicines and medical devices. |
New fridge thermometers have been put in the fridges and fridges logs are now maintained. Staff are regularly checking and logging the temperature everyday. |
02/02/2024 | 06/02/2024 |
| 5.2 | The CD cabinet is not secured fully in line with legal requirements. This compromises the security of these medicines. |
CD cabinet is now secured with two anchor bolts and CD keys are now kept secured at night sealed and signed by the responsible pharmacist. |
02/02/2024 | 06/02/2024 |
Pharmacy inspections
Inspection reports and learning from inspections