Inspection on 10/07/06 for Alt Park

This inspection was carried out on 10th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Alt Park 26/10/05

Alt Park 23/06/05

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

CARE HOMES FOR OLDER PEOPLE Alt Park Alt Park Parkstile Lane Gillmoss Liverpool Merseyside L11 0BG Lead Inspector Jeanette Fielding Unannounced Inspection 10th July 2006 12:30 X10015.doc Version 1.40 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 Alt Park DS0000063172.V296200.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 Older People. 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. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alt Park Address Alt Park Parkstile Lane Gillmoss Liverpool Merseyside L11 0BG 0151 546 5244 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) Tudor Bank Ltd Miss Lorraine Jones Care Home 35 Category(ies) of Dementia - over 65 years of age (35) registration, with number of places Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Up to 35 elderly persons who have dementia requiring nursing care Up to 10 elderly persons who have dementia requiring personal care A maximum of 35 persons to be accommodated at the home Date of last inspection 26th October 2005 Brief Description of the Service: Alt Park is registered under the ownership of Tudor Bank Ltd, a company that has extensive experience of the care home business. The registered manager of the home is Lorraine Jones who is a qualified nurse and an experienced manager. Alt park is registered to provide personal care and nursing care for elderly people who have dementia. It is registered for thirty-five service users, ten of whom may be accommodated for personal care. It is situated in the Gillmoss area of Liverpool. Accommodation is located on two floors with access to all areas of the home by a passenger lift. All bedrooms are for single occupancy, five of which have en-suite facilities. There are two lounges, a dining room and a conservatory. The home is surrounded by attractive and well kept gardens. Local shops and amenities can be found a short distance from the home. The fees charged by the home are in line with payments made by Local Authorities and the nursing element of care needs. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over two days. Service users, relatives, staff and management were spoken to during the inspection to gather information regarding the care afforded to service users. Many of the service users were unable to express their views due to their dementia but relatives spoke on their behalf and were extremely complimentary about the staff and the care given. Care records were inspected and were found to be comprehensive and informative. Staff records provided evidence that all appropriate checks are made prior to commencing work at the home to ensure the protection of service users. Evidence of on-going staff training was seen together with a comprehensive induction programme. Safety certificates were inspected and found to be well maintained and up to date. A tour of the building showed that improvements continue to be made to the benefit of service users. No requirements or recommendations are made following this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home should continue to develop to provide the current high standard of care and facilities for the service users. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 6 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. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sound systems in place to ensure prospective service users care needs are identified and that the service can be confident that their care needs can be satisfactorily met. EVIDENCE: The home has produced a comprehensive Statement of Purpose and Service User Guide. These documents provide prospective service users with full information regarding the services and facilities offered by the home. A copy of these documents is placed in each service users bedroom to give full access to the service users and their visitors. Further copies are available from the home on request. A full assessment is made of the service users care, social and emotional needs prior to admission. These assessments are undertaken with the service user where possible, their relatives and any other person involved with their care prior to admission to the home. Evidence confirms that the assessment is Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 9 conducted professionally and sensitively and has involved the family or representative of the service user. The files also include assessments made by social workers or hospital staff to provide further evidence of service users needs. The assessment provides the home with sufficient information to enable a plan of care to be prepared. The home does not offer intermediate care. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care files are comprehensive and provide staff with full information to enable the service users individual care needs to be met to ensure their protection. EVIDENCE: The home has reviewed and, where necessary, rewritten the care plans for all service users. The care plans are now extremely informative to enable staff to identify with service users specific care needs, together with their preferences, likes and dislikes. All health, social and emotional care needs are identified and individual care plans are prepared for each of the identified need. The majority of service users lack the capacity for understanding and agreeing to the care plans and so these are discussed with the service users relatives or representative. The care plans are signed to confirm agreement with them. Relatives spoken to on the days of the inspection confirmed that they had discussed the care plans with the manager and were able to discuss the service users preferences in relation to meals, times of going to bed and getting up and how the service users like things done. Discussion also takes Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 11 place with service users and relatives regarding care offered by both male and female staff. No objections have been raised with regard to which member of staff provides personal care although this would be respected and recorded where necessary. Risk assessments are undertaken on all service users in relation to daily living and appropriate measures are put in place to reduce or remove any potential risk. These are recorded in the care files and the agreement of family members is obtained for the use of bed rails and for the use of any other protection equipment. All care plans and risk assessments are reviewed on a monthly basis, or as changes in care needs are identified, and these are updated as appropriate. Staff actively promote the service users’ right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure appointments are not missed. Records show that the home arranges for health professionals to visit frail service users in the home and provides facilities to carry out treatment. Staff keep a regular check on health aids, making sure they are working effectively and that each service user has the necessary aids to improve their quality of life. Records held in the home provide evidence of the input by other healthcare professionals and advice is sought from District Nurses and the Tissue Viability Specialist Nurse as necessary. Service users have choice over their personal care and are encouraged to be independent and responsible for their own personal hygiene where possible. The home has a robust medications policy and inspection of the medications records provide evidence that the staff follow the procedure. All records relating to medications were found to be well maintained and up to date. The medications room and trolley were seen to be clean and organised. Appropriate arrangements are in place for the disposal of unwanted medications through a contract with a disposal company. Service users were unable to give their views of the home due to their cognitive impairment and so visitors to the home were approached for their views of the service and facilities provided. Visitors confirmed that the service users were treated with respect and in a dignified manner at all times. Privacy is respected at all times. Service users are free to meet with their visitors in the privacy of their own bedroom or in one of the communal areas. Visitors confirmed that they were welcome to visit the home at any time and that the staff were approachable and available to speak with them whenever they wished. One visitor said that Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 12 it was lovely that the staff were forthcoming with updates of their relatives care without having to ask. Visitors spoke highly of the manager, the care and ancillary staff and commented on how committed and caring they were. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The range and number of activities within the home is good, providing service users with stimulation and social interaction in small groups or on an individual basis. EVIDENCE: Service users social needs and preferences are identified prior to and on admission to the home to enable a programme of activities to be prepared. Many of the service users are not able to participate in games or activities due to their short attention span, but staff spend time with each service user on a one to one basis to provide stimulation. Entertainers visit the home on a regular basis to provide music and singing. These have proved to be very popular and family members are invited to attend these sessions. Some service user attend a local Church were age related parties are held. Visits to local events are also arranged and during the warmer weather, daily outings are made. Christian Ministers of Religion visit the home regularly to provide services for those service users who wish these. Service users rights to follow and practice Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 14 their religious beliefs are acknowledged and well promoted. The home also holds details of Ministers of other Religions who can be contacted to provide services for service users if they are not of the Christian Faith. The home does not have any religious persuasion. Service users are encouraged to make decisions regarding their daily routines although information regarding preferences is often required from family members. All information gathered is recorded in the care plans. Some service users choose to go to be later in the evening and enjoy staying in bed until late in the morning. One relative spoken to during the inspection commented that she really appreciated her relative being able to stay in bed until 10 or 11 in the morning as this was her usual routine prior to entering the home. The menus within the home have recently been reviewed and provide evidence that a varied and balanced diet is offered. A choice of meals is always available and the menus have been prepared taking service users preferences into consideration. No special diets are required by the service users at present but discussion with the cook showed that these would not present as a problem. The cooks are qualified and experienced. The meals observed at the time of the inspection were attractively presented and smelled appetising. Service users take their meals in the dining room or one of the lounges as appropriate. Two service users prefer to take the majority of their meals in their bedrooms and these requests are respected. Meal times are generally the only routine within the home, but even these can be held for service users who do not wish to take their meal at the appropriate time. Drinks and snacks are available between meals and additional soft drinks are served during the warmer weather to avoid the risk of dehydration. The kitchen was clean and organised and all foods were stored appropriately. The gardens are well maintained and a secure garden area has been provided at the side of the home for the protection of service users. Seating has been provided in this area and service users have been involved in the preparation of hanging baskets and pots with flowers. Attention has been given in the garden to identifying potential risk of tripping hazards and systems have been put in place to protect the service users. Service users were seen to have full access to the secure garden area which they are free to use. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected through the provision of robust policies and procedures. Staff have a good understanding of adult protection issues that helps protect service users from potential harm or abuse. EVIDENCE: The home has a comprehensive complaints procedure which is detailed in the statement of purpose and is also displayed within the home. No complaints have been received by the home or by CSCI since the last inspection. One relative said that there was never any need to make a complaint because every request was met and the manager and staff would ensure that the service users were well cared for. Staff spoken to said that they spoke with the service users visitors at every visit to gather additional information and to ask them if they were satisfied with the care given. The manager stated that the staff team were all fully aware of each service users condition and were competent in speaking with family members. Records are held of all conversations with family members to further ensure an open and transparent care environment. All staff are given training on adult protection during their induction training programme. A record of this training is held on the staff files. Additional training has been given to the majority of staff on Adult Abuse and Adult Protection. Training has been arranged for the remainder of the staff to Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 16 undertake this training. Staff spoken to during the inspection were knowledgeable of adult protection issues and were able to give full details of the action to be taken in the event of abuse being suspected. The home ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of the residents. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment in this home is good and all areas are clean to provide service users with an attractive, homely and pleasant place to live. EVIDENCE: Improvements continue to be made to the fabric of the building and to the furnishings provided. The lounge areas, dining room, reception area and ground floor corridors have been redecorated since the last inspection. Bathroom and toilet doors have been painted red to provide orientation for the service users. Staff spoken to during the inspection said that the colour of these doors has significantly reduced the incontinence within the home as service users are now able to identify where toilets are. Orders have been placed for two new dining tables and eight dining chairs to improve the dining facilities. Ten new armchairs have been ordered and Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 18 delivery of these is awaited. New bedding has been ordered to replace that which has become faded and worn. Consideration is currently being given to replacing the carpet in the corridors with flooring within the next twelve months. The home is decorated and furnished to a good standard. Service users are accommodated in single bedrooms and it is evident that staff and family members have assisted in personalising service users bedrooms with pictures and items of memorabilia to provide a warm and homely environment. Sufficient toilets and bathrooms are provided and are suitably located throughout the building. Assisted bathing facilities are provided to assist service users who have mobility difficulties. Specialist equipment is provided for service users following assessment by the Occupational Therapist and Physiotherapist. Seating areas are provided within the lounge, dining room, conservatory or entrance area to offer service users a choice of where they wish to spend their time and to provide quieter areas for those who prefer this. The home is central heated and all bedrooms have windows that can be opened to provide natural light and ventilation. Thermostatic valves have been fitted to baths to ensure that service users are not put at risk of scalding. Security locks have been fitted to external doors to provide greater protection for service users. These locks are connected to the fire alarm system and will unlock automatically in the event of the fire alarm sounding. The home was found to be extremely clean throughout and no offensive odours were evident. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected through a robust recruitment procedure and the employment of a competent and well trained staff team. EVIDENCE: The home employs qualified nurses and care assistants to provide care for the service users. All staff are experienced, many of whom have worked at Alt Park for a number of years. The homes recruitment procedure has been prepared in accordance with equal opportunities. Prospective staff are required to complete an application form prior to attending for interview. A record of the questions and responses at the interview are held on the files of new staff. Two references are taken and checks are made with the Criminal Record Bureau and Protection of Vulnerable Adults lists to ensure the protection of service users. An induction training programme work book is used to ensure that all new staff are fully aware of the policies, procedures and practices within the home. These books are held on the staff files and provide evidence of a comprehensive induction programme. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 20 A selection of staff files were inspected and all were found to contain all documentation as required, together with evidence of training undertaken. Recent training includes moving and handling, fire training, abuse and protection, health and safety, catheter care and dementia care. Qualified general nurses employed at the home have been eager to commence post qualification training on dementia and the manager is arranging this through a local training facility. Senior care staff are to commence training on team leadership through a local college. Other planned training includes abuse, infection control, dementia care, personal care and COSHH. Staff spoken to during the inspection were enthusiastic and said that they had enjoyed recent training and were looking forward to further developing their role through training and development. Regular supervision is given to all staff and annual appraisals are held. Records are held of supervision and appraisals together with the supervision contracts that staff are required to sign. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a clear development plan and vision for the home, which she has effectively communicated to the service users, staff and relatives. EVIDENCE: The registered manager is a qualified nurse who is skilled and has considerable experience in the care and management of elderly people who have dementia. The manager is available in the home on a full time basis and is accessible to service users, their families and staff during this time. Relatives spoken to at the time of the inspection confirmed that the manager was open and forthcoming with information about their relative and kept them fully informed of any changes in their care needs. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 22 Staff meetings are held regularly and provide an opportunity to inform staff as well as providing a forum for general discussion. It is evident from the documentation held in the home that the health and safety of service users are given high priority. Family members were spoken to during the inspection and all agreed that the quality of care for their relatives was of a high standard and that they felt confident that the service users were protected. Safety certificates were seen to be in place and up to date. Tests are made on the fire detection equipment and are recorded appropriately. Questionnaires have been prepared for both staff and relatives, as the service users are unable to complete these. These questionnaires will be sent out in the very near future to gather the views of staff and service users to assist in improving the service. Audits are undertaken on all aspects of the home and of the care required for service users on a regular basis. The Responsible Individual visits the home on a regular basis and spends time speaking with the manager, staff, relatives as well as touring the premises. A report is produced following these visits as required. Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X X 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Alt Park DS0000063172.V296200.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Alt Park DS0000063172.V296200.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!