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Alton Manor Care Home - Portsmouth Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 May 2021

About the service

Alton Manor Care Home is a 'care home'. Alton Manor Care Home accommodates up to 34 people living with dementia and physical frailty in one building. At the time of our inspection 30 people were living at the home.

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

Quality assurance systems had not always been effective in identifying the concerns we found at this inspection.

The lack of robust infection control practices placed people at risk of being exposed to infections. This included known risks associated with the current Covid-19 pandemic.

Some risks to people’s safety had not been effectively assessed, monitored or mitigated. The management of medicines was not always safe. No harm had come to people, but we were concerned about the increased risk of harm to people. The provider promptly addressed some of these concerns and had plans in place to address the remaining concerns.

People and relatives provided us with a mixed view about whether there was enough staff to effectively support people. We observed that people were supported in a timely way apart from at lunchtime. The provider told us they would monitor the deployment of staff to ensure people’s needs were met at lunch time.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Staff felt well supported through training and supervision. Staff in the service worked well with each other and external professionals to ensure good health outcomes for people

We have recommended that the provider seeks reputable guidance to ensure the requirements of the Accessible Information Standard are consistently met. This was because staff did not always communicate with people in a way they could easily understand.

We mostly observed positive and kind interactions between staff and people, although on some occasions we saw that staff did not engage with people who lived with dementia in the most effective way. Relatives felt staff treated people with dignity and respect and we observed staff respecting people’s right to privacy.

People and relatives told us they were happy overall with the service. Staff enjoyed working at Alton Manor and felt well supported by the registered manager.

The nominated individual, registered manager and director demonstrated a willingness to make improvements and during the inspection began reviewing their systems and process to ensure the service consistently provided good, safe, quality care and support. Further progress was still needed to fully embed and sustain these improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was requires improvement (published 01 April 2019). There were four breaches of regulation in relation to regulation 17 Good Governance, regulation 12 Safe Care and Treatment, regulation 11 Consent and regulation 20 Duty of Candour. We met with the provider and they completed an action plan after the last inspection to show what they would do and by when to improve.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Alton Manor Care Home on our website at www.cqc.org.uk.

At this inspection enough improvement had not been made and the provider was still in breach of regulation 11, 12 and 17. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections. We will describe what we will do about the repeat requires improvement in the follow up section below.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings i

Inspection areas

Safe

Requires improvement

Updated 26 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 May 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 26 May 2021

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 26 May 2021

Well-led

Requires improvement

Updated 26 May 2021

The service was not always well-led.

Details are in our well-led findings below.