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Alton House Care Home - Hayling Island Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 17 October 2019

About the service

Alton House Care Home 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 shared rooms. At the time of the inspection the home was providing care and support to 18 people.

People’s experience of using this service and what we found

The provider’s quality assurance systems were not fully effective in identifying all concerns in the service and in driving the necessary improvement. At times there was a lack of clear and accurate records regarding people’s medicines and the Mental Capacity Act 2005. We have made a recommendation about this.

The provider was in the process of making improvements in the service. This included moving to electronic care planning and improving the environment for people.

People, relatives and health professionals thought the service was safe. There was enough staff to support people safely and meet their needs. People were protected from the risk of abuse. Risks associated with people’s support needs were mostly assessed, monitored and mitigated effectively.

People's needs were met in an individual and personalised way by staff who were kind and caring. Independence was promoted, privacy, dignity and people's rights and freedoms were upheld. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff told us they enjoyed working at the service and were supported by regular training and supervision.

People, relatives, staff and external professionals were positive about the registered manager.

The registered manager demonstrated a willingness to make improvements and during the inspection began reviewing their systems and processes to ensure the service consistently provided good, safe, quality care and support.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was Good (published January 2017).

The overall rating for the service has changed from Good to Requires improvement. This is based on the findings at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 17 October 2019

The service was not always safe.

Details are in our safe findings below.



Updated 17 October 2019

The service was effective.

Details are in our effective findings below.



Updated 17 October 2019

The service was caring.

Details are in our caring findings below.



Updated 17 October 2019

The service was responsive

Details are in our responsive findings below.


Requires improvement

Updated 17 October 2019

The service was not always well-led.

Details are in our well-Led findings below.