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Alton House Care Home - Hayling Island Good

Inspection Summary


Overall summary & rating

Good

Updated 21 January 2017

The inspection took place 23 November 2016 and was unannounced. The home was last inspected in January 2014 and was compliant at that time.

Alton House offers accommodation over two floors for up to 18 older people, some of whom are living with dementia. The home had some rooms which were double occupancy. At the time of the inspection the home was providing care and support to 18 people.

There was a registered manager who had been in post since September 2014. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had undertaken safeguarding training and were knowledgeable about their roles and responsibilities in keeping people safe from harm.

There were risk specific assessments in place for each person which showed the risk level and the measures which had been put in place to mitigate the risk.

Medicines were managed safely. There were robust processes in place for the ordering, storing, administering and recording the use of medicines.

There were sufficient staff to meet people’s needs safely and effectively and staff recruitment processes were safe and robust.

Staff underwent an induction and shadowing prior to commencing work, and had regular updates to their training to ensure they had the skills and knowledge to carry out their roles. Staff were well supported and received supervisions and appraisals regularly.

The home worked within the guidelines of the Mental Capacity Act 2005 and ensured people were not unlawfully deprived of their liberty.

People had access to a range of food and drinks throughout the day, and people told us the food was good and plentiful.

Staff were kind, caring, attentive and patient in their support of people in the home. There were positive relationships evident between staff and people who lived in the home. People were treated with dignity and respect.

Care plans were detailed and person centred. Care plans contained personal preferences and instructed staff on encouraging people to maintain their independence. Care plans were reviewed and updated regularly.

There were activities taking place in the home, which we saw people enjoyed and engaged with. People told us there was plenty going on to keep them occupied.

There was strong leadership in the home, and the registered provider had processes in place to ensure they had oversight of the quality and safety of the home and the support it offered. Records were of a good standard and were well organised and easily accessible.

Inspection areas

Safe

Good

Updated 21 January 2017

The service was safe.

Staff had undertaken training in safeguarding adults from harm and abuse and were able to explain their role and responsibilities to us.

Medicines were managed safely.

There were safe recruitment processes in place which ensured staff were of good character and suitable to work with vulnerable people.

Effective

Good

Updated 21 January 2017

The service was effective.

Staff had undertaken training which was regularly updated to ensure they had the skills and knowledge to support people effectively.

The home had made appropriate applications to lawfully deprive people of their liberty and were working within the principles of the Mental Capacity Act 2005.

People had access to a good range of food and drinks throughout the day.

Caring

Good

Updated 21 January 2017

The service was caring.

Staff were kind, caring, patient and sympathetic. There were positive relationships evident between people who lived at the home and staff of all levels.

People were treated with dignity and respect, and their privacy was protected.

People’s preferences for the end of their lives had been discussed and documented to ensure their wishes were met.

Responsive

Good

Updated 21 January 2017

The service was responsive.

Care plans were detailed and person centred. Care plans were reviewed regularly and changed to reflect current needs.

There were regular activities which people engaged with and enjoyed.

Complaints were recorded and dealt with in line with organisational policy.

Well-led

Good

Updated 21 January 2017

The service was well-led.

There was clear leadership in place, the registered manager was visible to people who lived at the home and staff throughout the day.

There were robust processes in place to ensure the quality and safety of the service was monitored and assured.

Records were of a good standard and were accessible