Inspection on 09/08/06 for 7 Manor Road

This inspection was carried out on 9th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

7 Manor Road 14/09/07

7 Manor Road 14/11/05

7 Manor Road 27/06/05

7 Manor Road 08/02/05

7 Manor Road 17/08/04

7 Manor Road 15/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 7 Manor Road 7 Manor Road Stratford On Avon Warwickshire CV37 7EA Lead Inspector Martin Brown Key Unannounced Inspection 9th August 2006 02:30 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7 Manor Road Address 7 Manor Road Stratford On Avon Warwickshire CV37 7EA 01789 414552 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Turning Point Rosalyn Jane Taylor Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: 7 Manor Road is a care home operated by Turning Point. It provides a community based residential care service for five adults with learning disabilities. The home is situated in a residential area close to the town centre and local shops. The home is staffed 24 hours a day. The building consists of two converted semi- detached houses. This results in a degree of separation, with two staircases, one of which has a stair lift, and a central fire door upstairs. There is a large kitchen, laundry and a separate staff office on the ground floor. The majority of residents have profound learning disabilities and communication difficulties, although there is one service user who is more independent and who has good communication skills, but who chooses to remain at the home. Current fees at the home are £1430.20 per week. Transport, hairdressing and toiletries are extra. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been made using evidence that has been accumulated by the Commission for Social Care Inspection. This includes information provided by the home, and a visit to the home. Feedback cards for service users and relatives were sent to the home but none were received back. The inspection visit was unannounced and took place on 9th August 2006, between 2.15 pm and 6.45pm. All service users were seen over the course of the inspection, as were staff on both the morning and afternoon shifts. A tour of the premises was made, relevant documentation was looked at, and observations of the interactions between service users, staff and their environment were made. One resident’s views were readily understood; others were largely by expressions, gestures, or a few words. Staff were helpful throughout, as was the manager, who was present for a short time at the start of the inspection. What the service does well: What has improved since the last inspection? Staffing numbers have improved with the addition of further permanent staff, reducing the reliance either on agency staff or for existing staff to do extra hours, or for the manager to cover shifts, which all lead, in time, to a direct improvement in the quality of life for service users, particularly in respect of variety of individual activities, personal development, and overall quality of life. The fixtures and fittings have improved immensely, with the hall, bathrooms and lounge in particular benefiting from decoration and refurbishment. Previous requirements, many of them centred on the environment, have been met. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Prospective residents should fell confident that admission would involve a full assessment of the home’s ability to meet their needs and aspirations. EVIDENCE: There have been no new admissions to the home for over three years. Following the sad death of a resident last year there is a vacancy at the home. The manager advised that she has not yet assessed anyone to fill the vacancy as any approaches so far were immediately seen as having needs not compatible with the residents currently at the home. The manager advised that new admissions are always made only following full admissions and lengthy introductions. The standards relating to this have previously been met. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to this service. Residents’ confidentiality is compromised if information concerning them is not kept in a more secure manner. Residents are supported in making decisions and taking risk in their day-to-day lives. Residents’ well-being can be compromised if the risk implications of statements in support plans are not fully considered. EVIDENCE: Individual files were sampled. Staff advised that care plans are being updated as a computer is now available in the home. Some files are kept in the office, others are kept in the laundry room. These include user friendly monthly summaries, as well as the bulk of information concerning residents. Staff spoken to later agreed that much of this information is better stored in residents’ own private rooms, as it is information about them, or in the office, where it is more secure. A communication diary was seen; staff advised that these are in the process of being updated. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 10 Support plans were seen. These were up to date and generally clear and informative. Two statements were discussed with staff. One noted the resident’s enjoyment of a particular alcohol, but gave no indication of acceptable limits or risk in view of medications taken. Another spoke of a resident having ‘no communication skills’ although this was contradicted further into the plan by details of how staff should understand her communication. Risk assessments were seen to cover issues of cross gender care, a previous issue of concern. Discussion with residents and staff, and observation, showed that residents were able to make decisions, or were supported to make decisions, whether this was about going out or activities within the home. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents are benefiting from more staff being available to give them a wider choice of individual activities and to support them in these activities. Residents may benefit from a clearer awareness by all staff of the priority of personal care over routine chores. EVIDENCE: One resident was able to discuss the variety of activities that he is doing during the summer. He was working two afternoons a week in a shop, took part in two drama groups, and was looking forward to his holiday. Another resident returned at 5pm from a day out with a day service. The other two resident had both been out at various points of the day with staff members. There was evidence of family and social contacts. There were regular visits to, and from, residents in a home on the other side of Stratford. Staff showed in interactions that they recognised individuals wishes to make choices, even though they may not necessarily agree with those choices, as with one resident spending more time in his room than some staff thought was 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 12 compatible with him developing social skills. I noted this resident being very pleasant and obliging during the inspection. Staff were able to discuss residents’ planned holidays, as was one resident, and monthly summaries showed details of activities undertaken. A meal was taken with the residents, and was a relaxed, easy going time, in spite of one resident having a seizure, which was dealt with calmly. However, as this required the attentions of two staff, one resident who needed staff support to continue eating was unable to, whilst other residents, obviously used to this happening and being dealt with, carried on eating after a short interval. The resident did not appear distressed by the delay. The third member of staff continued washing up in the kitchen. The shift leader afterwards agreed that helping the service user continue her meal should have a higher priority than clearing away in the kitchen, but also thought that my presence at the table may have been a factor in inhibiting this line of approach. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Service users benefit from the home’s attention to their health and personal support needs. Medication procedures are generally good, but the home must be able to show that practices are fully agreed and backed up by outside professionals and residents’ representatives. EVIDENCE: Discussions with individual staff showed a good knowledge of individual health and personal support needs, and how to meet those needs. Regular health appointments were taking place, as well as specialist appointments concerning, for example, weight, and specialist dental issues. One staff explained how sensory devices and procedures helped relax one resident in the evenings. Health and personal support guidance was in place in individual files. Medication was seen to be accurately and appropriately recorded with good clear guidance on individual residents and their preferences, and good guidance on individual medications and their usage and possible effects. There were two issues of concern. One service user has medication on a spoon, with food. Staff explained the reasons for this, but there was no written approval of this practice by outside professionals. There was an agreement to 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 14 receive medication drawn up on this person’s behalf, but it is signed only by a representative of the home. It was noted that not all staff have had training in managing medication to deal with a prolonged seizure. Staff agreed that the residents concerned were at potential risk if one of these staff was the one doing the sleep-in, and that all staff trained in medication and doing sleep-ins unsupported required this training as a matter of urgency, in order for them to continue to do sleep-ins without there being a potential risk to the residents concerned. The organisation was able to confirm the next day that training had been brought forward for all and sleep-ins amended so that any unnecessary risk was avoided. The home had been deeply affected by the illness and death of a resident at the end of last year. The manager advised that residents had all attended the funeral, and that the family of the deceased maintained a contact with the home. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The service continues to work to heed and act on residents’ views. EVIDENCE: Staff were seen, in the main, to be heedful of residents’ views, and giving them options and choices. Support guidelines help staff understand residents’ wishes where there are communication barriers. This was observed in activities being offered. Staff were able to demonstrate their awareness of abusive practice and what to do in the event of such being witnessed. One staff discussed a recent notification taken following bruising being found on a resident, and demonstrated that appropriate action had been taken. Residents’ finances were observed being checked between staff changeovers. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26,27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents benefit from a much-improved home, that continues to be clean and hygienic. The service should be aware of, and seek to minimise, the potential ‘institutional’ effect of a rather large and central laundry room. EVIDENCE: The home has been extensively refurbished. The lounge, dining room, toilet areas, and hallway have been refurbished, and much improved. The small sensory area has also been redecorated. Pictures, including some by residents, add to the homely décor. The home has a ‘homely’ feel throughout. The one exception to this is the curious siting of the laundry, which is quite large and occupies a prominent position in the home, being the first thing viewed upon entering the home. Staff and residents may have grown used to this, but it can strike a visitor as imposing, and rather institutional. The contrast between the rather small dining room, and the rather large laundry right next to it, is noted. Staff explained plans to have roller blinds on hall windows, to aid privacy. Some hall lights still have no lampshades. Staff were willing to install some the next day, but agreed that it was more important that suitable were chosen. This was not made a requirement, as the staff were able to reassure that it 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 17 would be done, and it should be seen in the context of the dramatic recent improvements in the décor. All staff assured me that the heating is now satisfactory, and that areas that were previously cold are now warm even in winter. Radiators now have good quality covers on to ensure their safety. Bathrooms and toilets have been refurbished. Staff advised that they were hoping for an integrated bath chair for the bath, rather than the one that they currently use, which has to be removed and stored in the hallway. Whilst not an obstacle or hazard, it is unsightly there. Bedrooms are all pleasant and have been redecorated and reflect individual needs and wishes. One resident has ‘cot sides’. The reasons for this were fully explained and risk assessments in place. The home was clean throughout, and free from unpleasant odours. The garages have been re-roofed, and the garden at the front of the house continues to be a very attractive, welcoming feature. Staff advised that the garden at the rear is attended to by contractors and also by staff, and that it is a constant struggle to prevent it being overgrown. On this visit, it appeared to be just about under control, and able to be used by residents. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Residents benefit from a larger, more consistent, staff team, and from a core of experienced staff who are familiar with their needs and wishes. EVIDENCE: There were three staff on duty on each shift; for the morning shift, this included the manager, who had had to cover sudden sickness, instead of being supernumerary. The manager was pleased to advise that no agency staff are now being used. Staff were positive about the larger staff team, saying that there was now more opportunity for individual work with residents. Much of the additional staffing had come about through redeployment, but also from agency staff becoming permanent. Staff that this directly affected advised that the organisation’s human resources department now seemed to be working more efficiently and effectively. The time taken to process applications had previously been a source of irritation for applicants. General feedback from staff indicated that the organisation’s human resources department was now far more helpful and supportive of staff. A sample of files showed that satisfactory confirmation of Criminal Records Bureau checks was now in place, as part of appropriate recruitment procedures. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 19 A training matrix showed staff training ongoing; staff were positive about training, with former agency staff now feeling they are fully included in all training. Medication training now enables more staff to dispense medication, although some still require training in emergency epilepsy medication. After it being pointed out, this is being promptly dealt with by the organisation. Experienced staff spoken to were able to demonstrate, in discussion, a good knowledge of individual residents needs and how they are met, which they are able to share, through discussion and practice, as well as through written guidelines, with newer staff. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Service users benefit from a manager being able to give due time and attention to ensuring that the home is safe, comfortable and is being properly run. The home works to provide a service in line with the actual or perceived wishes of the residents. EVIDENCE: The manager was seen briefly. Although she had to help cover the morning shift because of sickness, she advised that she now has sufficient supernumerary shifts fulfil her management role, in contrast with the situation previously. This is reflected in time able to be effectively allocated to ensure that previous requirements were met, that training and supervision is now effectively ongoing, and that care guidelines are being updated. Minutes of regular residents meetings were seen, as were minutes of relatives ‘ meetings. Improvements to the fabric of the home were assisted by concerns expressed at previous meetings by relatives. The development of the service is 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 21 also helped by detailed records of regular visits by the registered provider that details good practice and areas for improvement within the service. The pre-inspection questionnaire returned by the manager detailed appropriate safety checks, and shortcomings identified previously in the heating systems and radiators have been rectified. No hazards were noted on this inspection. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 X 3 X X 3 x 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA9 Regulation 13(4) Requirement Timescale for action 17/09/06 2. YA10 12(4) Clear risk assessments should inform any support plans regarding the intake of alcohol where this may react with medication. The home must ensure that 17/09/06 service user information is stored in a way that does not compromise confidentiality. The home must ensure that agreements to have medication administered are signed by the resident or their representative, and that practices such as giving medication in food are clearly agreed by outside professionals. 17/10/06 3. YA20 13(2) 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard YA6 YA6 YA18 YA24 YA29 Good Practice Recommendations It is recommended that all service user communication information is updated It is recommended that care and thought is given before statements such ‘has no communication skills’ are included in support plans. All staff should be aware that supporting a service user to continue eating has a higher priority than clearing up after a meal. If ever major work is to take place in the future, consideration should be given to the siting and size of the laundry. It is recommended that a more appropriate bathing aid is sought for the upstairs bathroom. 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa & Coventry Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 7 Manor Road DS0000057990.V306945.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!