As noted in the comments it may be deceptive to write elements of $\mathbb{Z}\left[\frac{1+\sqrt{-19}}{2}\right]$ in the form
$$\frac{a+b\sqrt{-19}}{2},$$
with $a$ and $b$ integers, because such a number is an element of the ring if and only if $a\equiv b\pmod{2}$. Indeed this follows easily from the fact that, by definition, every element of the ring $\mathbb{Z}\left[\frac{1+\sqrt{-19}}{2}\right]$ is of the form
$$u\cdot1+v\cdot\frac{1+\sqrt{-19}}{2},$$
for integers $u$ and $v$.
From here you can indeed proceed by considering the norm, which is given by
$$N\left(u+v\frac{1+\sqrt{-19}}{2}\right)=\left(u+v\frac{1+\sqrt{-19}}{2}\right)\left(u+v\frac{1-\sqrt{-19}}{2}\right)=u^2+uv+5v^2.$$
In general a norm is given by taking the product of the elements obtained by applying ring automorphisms that fix some subring. Here this fixed subring is just the subring $\Bbb{Z}$, which is of course fixed by any (unital) ring automorphism.
For this particular ring, every ring automorphism is determined by where it maps $\tfrac{1+\sqrt{-19}}{2}$. Because this is a root of $X^2-X+5$, any automorphism must take it to another root of this polynomial. Hence there are precisely two ring automorphisms, yielding the product above.
It is also worth noting the similarity between the minimal polynomial and the norm.
As for the unit group, Dirichlet's unit theorem tells you almost everything you need to know, but it seems like overkill in this context. Instead, continuing your argument with the norm:
If $u+v\alpha\in\mathbb{Z}\left[\alpha\right]$ is a unit, where $\alpha:=\frac{1+\sqrt{-19}}{2}$, then
$$N(u+v\alpha)=u^2+uv+5v^2=\pm1.$$
It follows that
$$\pm2=2u^2+2uv+10v^2=u^2+(u+v)^2+9v^2,$$
and hence that $v=0$ and $u=\pm1$. So $\Bbb{Z}[\alpha]^{\times}=\{\pm1\}$.