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Inspection carried out on 23 November 2017

During a routine inspection

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 carried out on 27 July 2015

During a routine inspection

The inspection was announced and took place on 27 July 2015. We arranged the inspection date with the registered manager a few days before our visit that we would be inspecting this service. This was to make sure staff and people we needed to speak with were available.

Verona Avenue provides accommodation and personal care for up to four people who are recovering from brain injury. The service was first registered in November 2013. However, the first person was only admitted to the home in December 2014, with staged admissions for the other two people who now lived at the home. This was our first inspection of the service.

There was a registered manager in post. 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.

People living at the home felt safe and well-supported.

Steps had been taken to assess risks to people, both in terms of the physical environment and also in supporting people as safely as possible in meeting their identified goals.

Staff had been trained in in safeguarding adults and were aware of the types of abuse and how to make safeguarding referrals.

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

There were robust recruitment procedures being followed to make sure that appropriate staff were employed to support people.

Staff and people felt the staffing levels were appropriate to meet people’s needs. Staffing levels were planned and adjusted to make sure people were supported to meet their rehabilitation goals.

People were supported with medicines with the aim of people managing their medication on their own.

Staff knew people’s needs well and the organisation had a training programme in place. This ensured that staff had thorough induction and opportunity to develop their skills and knowledge.

People’s consent underpinned how staff worked with people in meeting identified goals.

Staff were knowledgeable about the Mental Capacity Act 2005. At the time of the inspection people accommodated had full capacity to be involved in all decision making about their goals, care and support.

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

People felt the staff were very caring and supportive.

People’s needs had been fully assessed and interventions and goals set with people. 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 out last inspection.

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

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