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Alton House Care Home - Hayling Island Requires improvement


Inspection carried out on 23 July 2019

During a routine inspection

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 carried out on 23 November 2016

During a routine inspection

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 carried out on 21 January 2014

During a routine inspection

We found that people or their representatives were asked for their consent to the care and treatment provided. People we spoke with told us they were given choices and their decisions were respected by staff.

People's needs were assessed and their care and treatment was planned and delivered to promote their safety and welfare. A person said "I can't fault it, they (staff) offer me help and I am happy here". Another person said "I am quite satisfied".

We found that the provider had made improvements to protect people from the risk of health associated infections in their facilities and practice. People's relatives we spoke with told us the home was clean and comfortable, one relative said "they have made improvements to the environment and that is good to see".

Staff we spoke with told us they were adequately supported in their role and we found that staff completed an induction and training which met the relevant standards. Staff we spoke with were knowledgeable about people's needs and a person's relative told us "the staff do a very good job and they do the best that they can"

We found the provider had an effective system in place to monitor the quality of the service that people received.

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

Inspection carried out on 24 March 2013

During a routine inspection

We spoke with three people who used the service and they told us that they were happy living in the home. Two people told us how they still missed their home but were now adjusting to Alton House. They told us it was "like one big family." One person told us how they would like to have more activities. Another person told us: "I like being here."

On the day of our inspection, we found there was not an effective operation of systems to assess the risk of and to prevent, detect and control the spread of health associated infection. For example, we found pressure cushions and matresses that were soiled.

Inspection carried out on 20 January 2012

During a routine inspection

We spoke with three people who use the service and they told us that they liked living there. One person told us the home was �like one big family.� Another person told us: �I like being here.� One relative told us: �My dad loves it here. He seems to be more settled and the staff go out of their way to take care of him.�