This page contains information about common problems with Alt1 capture and how to fix them. You can change the capture settings by going to capture tab of the Atl1 settings.
Alt1 has three capture modes, OpenGL or DirectX are preferred and Desktop can be used as fallback. Alt1 will try to detect the correct capture mode but might make the wrong choice.
You can select different radio boxes to make the preview box show the game client.
Jagex changed the way display scaling works in December 2023 and Alt1 is not compatible with this new mode. You can revert to the old bahavior by toggling on "Disable RS DPI scaling". Make sure to restart RS after toggling this setting. This setting only applies if you have display scaling set to anything other than 100% in Windows settings.
If all other settings seem correct and Alt1 still can't find the home teleport button there might be a different problem.