| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy team discuss mistakes when they occur. But the pharmacy team are unable to show how they record mistakes so they can review and look for underlying trends. So there is a risk some mistakes may be overlooked and the same or similar mistake may happen again. |
A near-miss book is present in the pharmacy and has been made accessible to all staff. |
09/06/2025 | |
| 2.2 | Two members of the pharmacy team have not undertaken the necessary training for their role. Both are involved in the sale and supply of medicines and dispensing prescription only medicines, including the assembly of multi-compartment compliance packs. So they may not have the underpinning knowledge and skills to carry out the role effectively and safely. |
Both staff members have now been enrolled in the NPA dispensary course. |
09/06/2025 | 17/06/2025 |
| 2.2 | The pharmacy does not have a robust process for checking the suitability of temporary staff, including delivery drivers, and there is no training provided before they commence employment. |
Staff Training and Temporary Staff Induction An SOP was created and implemented for Day One induction for all new staff, including temporary and permanent staff. They have been showed to all staff |
09/06/2025 | 17/07/2025 |
| 3.1 | Members of the pharmacy team raise concerns about maintenance issues in the pharmacy. But the pharmacy has an ineffective process for these concerns to be raised and corrected. The consultation room has no lighting and the carbon monoxide monitor does not work. This presents a health and safety risk to both people using the pharmacy and its team members. |
A formal maintenance process has been implemented for both routine and emergency situations. |
09/06/2025 | 21/07/2025 |
| 4.3 | The pharmacy does not adequately manage its medicines appropriately to ensure they are always stored correctly or remain fit for purpose. Some medicines that need cold storage are not appropriately monitored to make sure they are being kept at the right temperature. |
All fridge temperature readings are now being regularly recorded and stored on the Prescript system. |
09/06/2025 | 21/07/2025 |
| 4.1 | There was no external signage indicating that the premises was a pharmacy. Pharmacy services which are available are not clearly displayed which may make it unclear to people what services they can access. |
A banner clearly stating “Wise Pharmacy” will be installed across the building by Friday 23/05/2025. |
09/06/2025 | 18/06/2025 |
Pharmacy inspections
Inspection reports and learning from inspections