Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.6 | The pharmacy does not keep all the appropriate records necessary to demonstrate that its prescribing services are provided safely and effectively. The records seen did not document advice given to people about what they should do if their symptoms did not improve. Or how the prescribing decision had been reached. Some prescriptions issued by the pharmacy seen on the patient medication record system did not have any associated clinical records on the pharmacy's system. So, this means that the pharmacy cannot sufficiently demonstrate that its prescribing is safe and appropriate. |
Since the inspection, we have reviewed our process, updated our patient registration form for the private prescription service and consultation entry platform to capture all the relevant details during the consultations according to the SOP. We also trialing EMRPro PMR System |
18/03/2025 | 01/04/2025 |
1.1 | The pharmacy does not appropriately identify and manage the risks associated with its prescribing service. It has not undertaken risk assessments for the prescribing service, particularly if providing it at a distance. The pharmacy's prescribing policy lacks detail and does not include information about the areas of prescribing, or details about which national guidance is followed for each condition. The pharmacy's standard operating procedures (SOPs) state that when prescribing, detailed records should be maintained about presenting circumstances, the person's history, and agreed treatment. There is evidence that the prescribing SOP was not being followed, as the pharmacy is not always maintaining detailed records of consultations with people. The pharmacy’s SOPs do not cover key areas. Such as arrangements which are to apply during the absence of the responsible pharmacist from the premises, if a complaint is made about the pharmacy business or if an incident occurs. Taken together these increase the potential risks to people using the services. |
A more detailed Risk assessment will be carried out using the NPA Independent Prescribing and Prescribing Service Risk Assessment Template. An updated Prescribing policy will be produced which includes information about the areas of prescribing, the national / local guidance followed. Since the inspection, we have reviewed our process, updated our patient registration form and consultation / assessment entry platform to capture all the essential details during the consultations according to the SOP. We have updated our SOPs to include SOP for absence of the Responsible Pharmacist, dealing with incident and Complaint Procedure. |
18/03/2025 | 01/04/2025 |
1.2 | The pharmacy cannot sufficiently demonstrate that it monitors the safety and quality of its services. Team members do not routinely record any dispensing mistakes and no audits have been undertaken about the pharmacy’s prescribing service. This makes it harder for the pharmacy to show that its services are safe and that it learns from any mistakes. |
Error log entry is in place and few entries has been made. A clinical audit on our Prescribing service is due and being organised. |
01/04/2025 | 01/04/2025 |