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Inspection Summary


Overall summary & rating

Good

Updated 5 January 2018

Verona Avenue is a care home that provides residential care for up to 4 people who are recovering from brain injury following a period of rehabilitation at Shelley Park Neurological Care Centre, a specialist neurological service. As a result of their injuries, people have complex needs and are supported by a range of different professionals.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of this inspection there was one person living at the home.

There was a registered manager in post; however, before the inspection we learnt that the registered manager had ceased working at the home. An interim manager had taken over the management of the home a few days before the inspection. 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.

At the last inspection, the service was rated Good and at this inspection we found the service remained Good.

The person living at the home felt safe and well-supported.

There was a system to assess the physical environment and also assess the risks in supporting people to meet their identified goals as safely as possible.

Staff had been trained in in safeguarding adults and were aware how to make safeguarding referrals.

Plans were in place on how to support people in the event of an emergency and in the event of emergency situations.

Robust recruitment procedures were followed to make sure that appropriate staff were employed to support people.

Staffing levels were appropriate to meet the needs of the person living in the home: the levels had been planned to help the person meet their rehabilitation goals.

There were appropriate systems in place to support people with medicines in line with the objective of supporting people to progress towards managing their medication on their own.

The organisation had an induction and training programme in place and a system to ensure staff had the opportunity to refresh and develop their skills and knowledge. Staff ensured they gained people’s consent before supporting them in meeting identified goals and the service was compliant with the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Systems were in place to support people with budgeting, shopping and cooking.

The person living at the home felt the staff were very caring and supportive.

People’s needs had been fully assessed and interventions and goals set with people’s involvement. These were detailed in care plans that were up to date with evidence of regular reviews. Care plans were person centred focussing on their goals for rehabilitation.

People were supported with leisure and recreational goals as well as domestic routines so that they could fill their time meaningfully as well as working to rehabilitation goals.

There was a system in place for managing complaints that people were aware of. No complaints had been made about the service since our last inspection.

The service was well-led with an open culture and management sought continual improvement.

There were systems in place to monitor the quality of service provided to people.

Inspection areas

Safe

Good

Updated 5 January 2018

The service remains Good.

Staff had received training in safeguarding adults.

There were suitable recruitment procedures followed and appropriate numbers of staff deployed to meet people�s needs.

Medicines were managed safely in supporting people in their rehabilitation.

Effective

Good

Updated 5 January 2018

The service remained effective.

Detailed assessments had been carried out so that staff knew how to support people..

Staff were well-trained and knowledgeable about people and there was an extended range of professionals within the organisation should people need additional support.

People were fully consulted and gave consent to how they were supported in meeting their identified goals.

People received appropriate support in budgeting, shopping and cooking to make sure they stayed healthy.

Caring

Good

Updated 5 January 2018

The service remained caring.

There was a caring team staff who supported people at the home.

Responsive

Good

Updated 5 January 2018

The service remained responsive.

People were encouraged to take part in the domestic running of the home as well as taking part in activities meaningful to them.

The home had an accessible complaints procedure and people were aware of how to make a complaint.

Well-led

Good

Updated 5 January 2018

The service remained well-led.

People were supported by an open and accessible management team and motivated staff.

There were systems in place to monitor and improve the service provided to people.

People were consulted on the service provided and their views were respected.