A Leamington care home has been found in breach of safety, governance, and premises regulations following an inspection by The Care Quality Commission (CQC).

The inspection at Eversleigh Nursing Home, identified concerns over medicines management, environmental safety, and quality assurance processes, and was completed, with the last inspection taking place in 2019.

The home provides accommodation and nursing care for older people, including residents living with a range of health conditions and impairments. At the time of the inspection, 34 people were living at the service.

In a report following an assessment which took place between 20 August to 22 August 2025, inspectors marked the home against all five key areas of care quality: safe, effective, caring, responsive, and well-led.

All five aspects were given a rating of 'requires improvement' which is issued when 'the service isn't performing as well as it should.'

While some residents and relatives spoke positively about staff support and care, the inspection uncovered a number of significant concerns.

Among the most serious findings were failures in medicines management. Inspectors discovered differences between medication stock levels and administration records, meaning they could not be assured that residents consistently received the correct doses of medicines.

As stated in the report: "Processes to make sure people received their medicines safely were not working well. We found some medicines stocks held did not agree with people's medicines administration records."

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The CQC also found weaknesses in oversight and management.

Environmental safety concerns were also highlighted. Some fire doors were found to close too quickly, creating a potential entrapment risk, while others failed to close properly. Inspectors concluded that delays in addressing the maintenance issues found had exposed residents to unnecessary risks.

Additional concerns included issues in infection prevention and control measures, delays in responding to residents' requests for support, and care plans that did not always provide sufficient detail to support person-centred care.

Inspectors also found that staff interactions did not always promote residents' dignity and that "mental capacity assessments did not always evidence people had been given the best opportunity to make their own decisions."

During the inspection, CQC staff spoke with residents, relatives, care and nursing staff, maintenance personnel, the registered manager, and a representative of the provider. They also reviewed care plans, recruitment files, health and safety records, medicines records, and quality assurance documentation.

Feedback from residents and relatives was mixed. While some praised staff and the care they received, others questioned whether staffing levels were sufficient to meet residents' needs.

Opinions also varied regarding the cleanliness of the home and the quality of facilities. Several relatives reported limited opportunities to provide feedback or contribute to care planning.

The CQC has requested an action plan from the provider setting out how the identified concerns will be addressed.

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Overall, the findings raised concerns about the home's ability to consistently provide 'safe and effective care' and highlight the need for significant improvements in management oversight, medicines safety, and quality assurance.

Nub News has approached Eversleigh Nursing Home for comment.