CARE HOMES FOR OLDER PEOPLE
Antron Manor Care Home Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH Lead Inspector
Diana Penrose Key Unannounced Inspection 7th November 2006 09:30 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 Antron Manor Care Home DS0000032603.V313465.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. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Antron Manor Care Home Address Antron Hill Mabe Burnthouse Penryn Cornwall TR10 9HH 01326 376570 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) ROGERSWSL@AOL.COM Mr Kenneth Barrie Rogers Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Antron Manor is situated on the edge of the village of Mabe. The home consists of an older two-storey building with a ground floor modern extension. The home is set in extensive mature landscaped grounds. The grounds can be used by residents, and are partly accessible for wheelchair users. The home is registered to provide residential accommodation and personal care to a maximum of 16 older people. All bedrooms, with two exceptions, are single with en suite toilets and hand basins. The two exceptions have a have toilet and washing facilities very nearby. There are five communal rooms that are used for different purposes and activities. Information about the home is available in the form of a residents’ guide, which is available in the home and can be supplied to enquirers on request. A copy of most recent inspection report is also available in the home. Fees range from £340 to £400 per week; this information was supplied to the Commission in the pre inspection questionnaire received on 23/10/06. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. An inspector visited Antron Manor Care Home on the 07 November 2006 and spent seven and a half hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 01/11/05. All of the key standards were inspected. On the day of inspection 18 residents were living in the home. The methods used to undertake the inspection were to meet with a number of residents, relatives, staff and the registered provider to gain their views on the services offered by Antron Manor Care Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. Residents and relatives expressed great satisfaction with the care and services provided at the home. The registered provider and staff were praised for their kindness and for making the home a happy place to live in. Overall the home is providing a very good quality of care to the residents placed there in a relaxed friendly environment. What the service does well:
Mr Rogers provides a very well managed service for residents and they are very positive about their care and the facilities provided. Staff are perceived as very kind and caring and provide a friendly, relaxed atmosphere for residents and visitors. Residents said they are able to live their lives as they choose and the daily routines are flexible. Prospective residents are invited to visit the home prior to admission. They are assessed and given information about the home. One resident and her daughter said the process was very thorough and done in a sensitive way. Each resident has a written care plan that includes a life history. There is an appropriate medicines system in place and care staff receive medication training. Residents say their care needs are met and the staff are very kind. They said they choose how to spend their day and can maintain their independence. The environment is warm, comfortable and homely; it is very clean, free from offensive odours and well maintained. The grounds are accessible and garden seating is supplied. Health and safety and fire precautions are well maintained.
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
The home meets most of the requirements laid down by legislation; the registered provider discussed issues with the inspector and agreed to meet any deficits. Assessments and care plans should contain more detailed information to fully inform and direct staff. Care plans must be updated if care needs change prior to a review date. Records should be maintained every day and every night in the individuals file. Handwritten instructions on the medication administration records must be witnessed and signed by two members of staff. All staff should attend regular adult protection training; the registered provider has a DVD and a pack to do this in house. He also needs to provide infection control training. A copy of the document ‘‘Infection control guidelines for care homes’ would be useful. The provision of paper towels in the staff and communal toilets would help reduce the risk of cross infection. Training records need to be kept up to date. The records held in respect of resident’s money should be signed by the registered provider and periodically checked and signed by another staff member. The home should have a copy of the food safety standards; the registered provider should contact the Environmental Health Officer. Please contact the provider for advice of actions taken in response to this
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 8 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 Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 9 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): 3 (6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide appropriate care. EVIDENCE: Evidence was provided in the form of records, case tracking two new residents, discussion with the residents, one relative and the registered provider. Prospective residents complete an application form for consideration to be placed on the home’s waiting list. Prospective residents and their family are encouraged to visit the home to have a look around. The registered provider undertakes an assessment of the prospective resident’s needs during this visit or goes out to assess them; in their home or in hospital for example. The format for recording the assessment covers all of the areas listed in standard 3.3. More detail could be included in some areas, for example, where residents are noted to wear spectacles it should specify whether they are for reading or distance. Discharge information from hospital is obtained where appropriate.
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 10 Residents said the assessment process was thorough but undertaken in a very relaxed and friendly manner. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each resident that reasonably inform and direct staff in the care provision, further detail would be beneficial. Residents have access to health care services as necessary to ensure their assessed needs are met. There are systems and policies in place for dealing with resident’s medicines that assure residents safety. Systems are in place to ensure that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and case tracking two residents, interviews with residents, relatives, staff and registered provider. Each resident has a written care plan that is agreed and signed by the resident. There could be more detail to fully inform and direct staff in the care to be provided and this was discussed with Mr Rogers. Life histories are included and are really informative. Care plans are reviewed every month, when needs change prior to the review date the care plan must be updated and the registered provider is aware of this. Some risk assessments are
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 12 included for individual residents. Records of care are maintained but entries are not strictly daily and the night records have details of all residents on one sheet. This was discussed with Mr Rogers who concluded that day and night records should be recorded in the individual resident’s file, this will show who was responsible for the resident’s care and comply with data protection regulations. Doctors and other healthcare professionals visit residents as appropriate and records are kept. A community nurse and a GP visited during the inspection. Residents are weighed regularly according to their individual requirements. There is suitable equipment for moving and handling. There is a suitable system in place for medications. There is a medicines policy and a homely remedies policy, the approved list has been signed by the GP. Care staff receive training in the safe handling of medicines; a pharmacist was holding a course during the inspection and was impressed with the attentiveness of the staff attending. She reviews resident’s medication regularly and said the medicine system in the home works well, she said the staff are conscientious and treat the residents like their own family. She also said “It’s a lovely place, I can’t fault it”. Some residents administer their own medicines and sign to agree to this. The receipt, administration and disposal records are up to date. Handwritten instructions on the medication administration records must be witnessed and signed by two members of staff, the registered provider said he would talk to staff about this. There are no controlled drugs held at the moment. Residents’ privacy was upheld during the inspection. Residents said they are treated with respect and their privacy is upheld at all times. Antron Manor Care Home DS0000032603.V313465.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities and aims to offer a lifestyle that meets individual residents needs. Links with family and friends are good and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food available that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff, and registered provider. Activities and entertainment are on offer and posters are displayed to inform the residents. Activities include musical entertainment, bingo, games, mobile clothes shop and armchair aerobics with the physiotherapist. The registered provider stated that residents are taken out shopping sometimes. One resident talked about his weekly trips to Falmouth. The registered provider needs to implement individual activity records for each resident and said he would do this. Residents talked about the activities provided and were satisfied with those on offer. One resident was knitting and others were reading or watching television, another said she listens to talking books. Staff were chatting to
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 14 residents throughout the inspection. One resident said that her priest visits regularly and that religious services take place in the home. There is a record of visitors to the home and there were visitors in the home during the inspection. Residents said they could receive visitors in private and at any time. Visitors spoken with said they are made very welcome in the home and can call whenever they like. Residents said they choose when they get up and go to bed. One resident said “I stay up until midnight most nights”. Residents choose what clothes to wear and how they spend their day. Most residents manage their own money and they all have their own possessions around them including items of furniture. Each resident is assessed and their individual likes and dislikes are recorded, staff said they are aware of these. There is a menu that spans three weeks and fresh fruit and vegetables are included. It is a set menu but residents said they could have something different if they did not like what was on offer. Residents said the food is good and they enjoyed the lunchtime meal. One resident said, “The food is excellent.” Another said “It’s so good leave nothing but the pattern on the plate!” It was a resident’s birthday on the day of the inspection and sherry was served before lunch, everyone sang happy birthday to her and she had a cake to celebrate. Antron Manor Care Home DS0000032603.V313465.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of policies and discussion with the registered provider, staff and residents. There is a suitable complaints policy in the home. There have been no complaints. Thank you letters and cards are kept. The home has an appropriate adult protection policy which staff need to be fully aware of. The registered provider has attended the Adult Social Care alerters training. He has the pack and a training DVD and intends to train staff in house. It is proving difficult getting staff onto the Adult Social Care training days. Residents said there are no barriers to raising concerns with the staff. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is clean with no unpleasant odours making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of a tour of the building, discussion with residents, staff and registered provider. The home is warm, comfortable and homely. It is well ventilated and there is domestic style lighting. There is an ongoing maintenance programme. It is well furbished and well decorated throughout; five rooms have recently been refurbished. The grounds are tidy and there is plenty of garden seating, several residents walk out in the grounds. Residents said they are happy with their rooms and the facilities provided. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 17 The home is very clean and free from offensive odours. The laundry facilities are suitable with one washer and one drier. Residents said that the laundry system works well. Suitable hand washing facilities are provided for staff along with protective clothing. The provision of paper towels in the staff and communal toilets would help reduce the risk of cross infection. Infection control training needs to be included in the induction programme with annual updates for all staff; some infection control is included with the food hygiene training. The registered provider said he could do this in house. The registered provider also said he would endeavour to obtain a copy of the document ‘Infection control guidelines for care homes.’ Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of residents and staff are motivated to provide a high standard of care. Residents are in safe hands and they benefit from the 50 of care staff trained to NVQ level 2 in care. Recruitment procedures are robust and offer protection to the residents. The home provides appropriate training for staff to help them be more competent in their roles; attention to records will give a better audit trail. EVIDENCE: Evidence was provided in the form of documentation, records, and discussion with residents, relatives, staff and registered provider. There is a set staffing rota that ensures there are two care staff on duty at all times. At night there is one awake and one sleeping. Some care staff take turns to cook the meals and there are separate cleaning staff. Residents said the staff are extremely kind and there are always enough around. 50 of care staff have an NVQ either at level 2 and all care staff are encouraged to undertake NVQ training. Three personnel files were inspected; the records required by legislation were included. Relevant CRB and POVA checks are undertaken. Relevant certificates of training are held. There is an equal opportunities policy and interview records show that all candidates are asked the same questions.
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 19 Staff receive an induction to the home and a checklist is signed. Care staff undertake foundation training following induction. Statutory training takes place in the home and external courses are sometimes on offer; not many staff seem to have taken advantage of these. Training records are maintained but it was pointed out to the registered provider that they need to be kept up to date. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 20 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Provider is a person of good character and fit to run the home. The home is run in the best interest of the residents and they will benefit from the Quality Assurance systems in place. There is a suitable system in the home for dealing with residents’ money that ensures that the residents’ financial interests are safeguarded. Appropriate training and safety checks are undertaken to ensure the health safety and welfare of residents and staff. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and discussion with residents, relatives, staff and registered provider. The registered provider has suitable skills, knowledge and experience to manage the home. He has an HNC in Health and Social Care and has achieved the Registered Managers Award. He attends statutory training in the home
Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 21 with the staff. He also attends external courses when appropriate and attends various seminars in respect of care of the elderly. He also keeps up to date with current medical issues by reading relevant magazines and using the Internet. Residents, visitors and staff said the home is very well run; the registered provider is competent and works hard. Residents commented, “Ken is great, he works with the staff and has a good sense of humour”. “Ken must be doing something right as it all works like clockwork here”. Quality assurance surveys are undertaken annually with residents or their family, those inspected were positive. A senior carer is responsible for auditing the medication administration records. There are no formal resident or staff meetings but the registered provider said he talks to everyone and they can air their views. The registered provider holds pocket money for three residents, the system works well and money checked was correct. The registered provider should sign the records and periodically get them checked and signed by another member of staff. He agreed this would be beneficial. The registered provider endeavours to ensure that working practices are safe and staff confirmed this. There are health and safety policies, procedures and risk assessments for the home. There is a fire risk assessment and fire safety procedures and checks are in place. Relevant service checks and maintenance takes place as required. Accident reporting complies with data protection; the home has very few accidents, one or two a month on average. Statutory training is provided for staff but the training records need to be updated. Fire training records are good. Mr Rogers said he would do this. There is a person trained in first aid on duty at all times. Moving and handling training has recently taken place. Those cooking food have achieved the Basic Food Hygiene Certificate, it maybe beneficial if one cook does the intermediate food hygiene course. The registered provider said he would contact the Environmental Health Officer, as he has not received a copy of the food safety standards. Kitchen cleaning records are maintained and fridge and freezer temperatures are recorded daily. Antron Manor Care Home DS0000032603.V313465.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 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 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 3 X 3 X 3 X X 3 Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 23 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. 1 2 Refer to Standard OP18 OP33 Good Practice Recommendations All staff should attend regular adult protection training The registered provider should develop an annual development plan as part of the home’s quality assurance process. Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Antron Manor Care Home DS0000032603.V313465.R01.S.doc Version 5.2 Page 25 - 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!