Keycircle Pharmacy (1098723) - Improvement action plan

Whilst staff appear competent in their roles, the pharmacy is unable to provide assurance that all team members have received or are completing accredited training appropriate to their responsibilities, as training records are not available.

All Staff training will be reviewed and any shortfalls rectified. All training records will be updated and printed and kept in the Pharmacy Cascading system according to Responsibility and with the Assistance of Buttercups Training.

The pharmacy does not always manage medicines safely and effectively. Dispensary shelves are untidy, and medicines are not consistently stored in an orderly manner, increasing the likelihood of errors. The pharmacy is also unable to demonstrate that storage temperatures for both fridges are being monitored to ensure suitability. In addition, the management of controlled drugs is insufficient and does not meet expected standards.

The Pharmacy Manager will set up a 12 week Date check Programme which will include tidying up of shelves and CD cabinet. Any CD destructions to be completed. Temperature logs of each different refrigerator will be maintained individually

The pharmacy does not maintain accurate and up‑to‑date records as required by law. Records of controlled drugs are not kept up-to-date, making it more difficult for the pharmacy to account for these medicines and demonstrate that they are being managed safely. In addition, private prescription records contain inaccurate prescriber information, and responsible pharmacist records occasionally have missing details which may make it harder to respond to concerns or queries.

CD Register will be fully updated by w/c 23.02.2026. Any unresolved CD discrepancies to be reported to CDAO. In future the Register will be kept up-to-date and timely entries made. The staff will be retrained on maintaining accurate records on the Private Prescription Register. All Pharmacists will be notified about the process involved in Logging In and Logging Out of the Responsible Pharmacist Register

The pharmacy does not maintain accurate and up‑to‑date records as required by law. Records of controlled drugs are not kept up-to-date, making it more difficult for the pharmacy to account for these medicines and demonstrate that they are being managed safely. In addition, private prescription records contain inaccurate prescriber information, and responsible pharmacist records occasionally have missing details which may make it harder to respond to concerns or queries.

CD Register will be fully updated by w/c 23.02.2026. Any unresolved CD discrepancies to be reported to CDAO. In future the Register will be kept up-to-date and timely entries made. The staff will be retrained on maintaining accurate records on the Private Prescription Register. All Pharmacists will be notified about the process involved in Logging In and Logging Out of the Responsible Pharmacist Register