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Inspection on 28/06/07 for Arrigadeen Nursing Home

Also see our care home review for Arrigadeen Nursing Home for more information

This inspection was carried out on 28th June 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents` health care needs are well met by a motivated and knowledgeable staff team. They have forged good links with local health and social care professionals. Staff treat residents with a commendable level of dignity and respect. Residents said that they enjoy the food provided at Arrigadeen. The cook knows what the residents like, and makes sure that meals are made from fresh ingredients. One resident commented `the only criticism I have, is that they sometimes put too much on my plate, and I feel guilty leaving food`. The staff team work together well, and appreciate all the training opportunities they are given. They enjoy their work, and said that they feel well supported by Mrs Morey and Mrs Davies (Matron).Mrs Morey and Mrs Davies have carried out a very comprehensive quality assurance assessment. They have consulted with staff, residents and their representatives. Staff are clear about what the service does well, and which areas require attention.

What has improved since the last inspection?

Since the last inspection, the living accommodation at Arrigadeen has been greatly improved. The kitchen has been refurbished, and a new assisted bath and sluicing disinfector ordered. Several rooms have been redecorated, and new furniture provided. These improvements have benefited both residents and staff. Residents said that they found the home comfortable. Staff said that they have the equipment they need to do their job. Staff recruitment procedures are now much more robust, and help to ensure that people employed to work at Arrigadeen have the skills and knowledge to care for the residents.

What the care home could do better:

Care documentation reflects the health needs of residents well, but does not give staff enough information about their social and emotional needs. Although staff showed a good understanding of individual people`s needs, these must be reflected in the care records. This is an area which the service has already identified for development. Although the home was clean and tidy, there was a noticeable odour in a number of rooms. This needs to be addressed.

CARE HOMES FOR OLDER PEOPLE Arrigadeen Nursing Home Ltd 20 Cambridge Road Clevedon North Somerset BS21 7HX Lead Inspector Alison Murray Unannounced Inspection 28th June 2007 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 Arrigadeen Nursing Home Ltd DS0000020294.V337621.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. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Arrigadeen Nursing Home Ltd Address 20 Cambridge Road Clevedon North Somerset BS21 7HX 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) 01275 879405 NONE Arrigadeen Nursing Home Ltd Post Vacant Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. May accommodate 29 persons aged 65 years and over requiring nursing care. May accommodate up to 3 persons aged 65 years and over requiring personal care only. Manager must be a RN on Parts 1 or 12 of the NMC register. Staffing notice dated 30/07/1998 applies. May provide nursing care to one named individual aged 50 years and over. This condition relates to a specific person and lapses when that person leaves the home or becomes 65 years old. May accommodate one named service user under 65, as detailed in application dated 12 January 2006. May accommodate one named service user under 65, as detailed in application dated 7 February 2006. 25/07/06 6. 7. Date of last inspection Brief Description of the Service: Arrigadeen is registered for 29 older people requiring nursing care. Arrigadeen Nursing Home Ltd owns the service. Mrs Roberts is the responsible individual for the company. Arrigadeen is a large house situated on a hill in Clevedon and has been adapted to meet the needs of the residents. The area around the home is pleasant and level and mainly comprises of private houses. Transport would be required to access the facilities of the town. The accommodation of the home is provided on three floors, with split landings each served by a passenger lift. It is comfortably furnished and has the appropriate handrails and grab rails to assist independence. The home has twenty bedrooms (fifteen single, and five double), five of which have en suite facilities. The communal areas on the ground floor consist of one large lounge/dining room, one smaller lounge and a conservatory. The current fees range from £523.57 to £550.00 Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a 7.5-hour period. Before the site visit, all information CSCI has received about Arrigadeen since the last inspection was reviewed. Mrs Denise Morey, who intends to apply to become the registered manager of Arrigadeen, was available throughout the inspection; Mrs Roberts, the company responsible individual was present for part of the visit. All areas of the home were inspected. There were twenty people resident in Arrigadeen. Ten of these residents were consulted individually, whilst a further five people were observed in the communal areas of the home. Not all people were able to comment on the care they received, but time was spent observing interactions between staff and residents. Individual discussions were held with four members of the staff team. Other staff were observed as they went about their work. During the inspection, there was a steady stream of people visiting residents. Three of these visitors were approached for their views of Arrigadeen. After the inspection, health and social care professionals who have dealings with the home were contacted. Their comments are included in the body of the report. What the service does well: Residents’ health care needs are well met by a motivated and knowledgeable staff team. They have forged good links with local health and social care professionals. Staff treat residents with a commendable level of dignity and respect. Residents said that they enjoy the food provided at Arrigadeen. The cook knows what the residents like, and makes sure that meals are made from fresh ingredients. One resident commented ‘the only criticism I have, is that they sometimes put too much on my plate, and I feel guilty leaving food’. The staff team work together well, and appreciate all the training opportunities they are given. They enjoy their work, and said that they feel well supported by Mrs Morey and Mrs Davies (Matron). Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 6 Mrs Morey and Mrs Davies have carried out a very comprehensive quality assurance assessment. They have consulted with staff, residents and their representatives. Staff are clear about what the service does well, and which areas require attention. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Arrigadeen Nursing Home Ltd DS0000020294.V337621.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 Arrigadeen Nursing Home Ltd DS0000020294.V337621.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed by a senior member of staff to ensure the home is suitable for them. Although they are given good information about the range of services offered at Arrigadeen, the way the fees are calculated is not clear. EVIDENCE: The home’s Statement of Purpose was last updated in May 2007. It contains all the required information, and is easy to read. The Service User Guide is also written in plain English. Mrs Morey and Mrs Davies plan to review this over the coming months, to include more comments from residents, and photographs of the home. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 9 The Current Terms and conditions document is very easy to read, but does not include a breakdown of fees, and how the nursing care element of these is calculated. One person has been recently admitted to Arrigadeen. This person’s care records contained a comprehensive assessment of needs, with clear evidence that other health or social care professionals had been consulted about these needs. The resident said that she had visited Arrigadeen before she moved in, to make sure it was what she wanted. She said that staff have been ‘lovely’, and respected her wishes to remain in her room. Arrigadeen Nursing Home Ltd DS0000020294.V337621.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs are clearly identified in care plans. These plans contain up to date guidance to enable staff to meet these needs. Social and emotional needs are not so well documented, but staff demonstrate a good awareness of these issues, and treat residents with great respect. EVIDENCE: Four sets of care records were reviewed. These all contained an assessment of the resident’s needs on admission. Care plans and risk assessments were in place to meet all identified needs. These had been updated regularly and gave staff good guidance to meet physical needs. This guidance was in accordance with current good practice, and demonstrated the involvement of other health and social care professionals. Each set of care records contained an ‘end of life’ plan. It was apparent that this had been discussed with residents and their representatives. Their wishes had been clearly recorded. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 11 During the inspection, a GP came to visit one of the residents. This person said ‘ I was feeling unwell this morning, so the staff arranged for my doctor to come straight away’. Other health and social care professionals confirmed that staff at Arrigadeen contact them appropriately, and follow any guidance they offer. At the moment, care plans contain little information about social or emotional needs. In the Annual Quality Assurance Assessment, which Mrs Morey and Mrs Davies sent to CSCI before the inspection, this had already been identified as an area for development. Staff on duty were able to describe how they planned to make sure this information was recorded. It was clear that they already had a good knowledge of individual needs. One staff member explained why a resident sat in a particular place in the lounge; when another resident became agitated, staff very promptly assessed what the problem was, and were able to reassure the individual. Staff on duty showed a good awareness of the home’s policies and procedures regarding the administration of medicines. Residents’ prescribed medications had been regularly reviewed, and all the recording sheets were well completed. Since the last inspection, the medicine storage facilities have been improved. There was much evidence to confirm the home’s commitment to ensure that residents are treated with dignity and respect. Staff said that Mrs Morey and Mrs Davies are going to identify a ‘Dignity champion’ within the staff team, to promote good practice. Interactions observed during the inspection suggested that staff already have a clear understanding of these issues. Staff spoke respectfully to all residents. When care was delivered, staff made sure that residents’ privacy and dignity was respected. For example, when residents were transferred by hoist in the lounge, all the staff were careful to make sure that screens were arranged to shield the resident from view. Residents confirmed that this was normal practice. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 12 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. 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. Residents are able to choose how to spend their time. They enjoy the planned activities, but also appreciate being able to spend time chatting with staff, or sitting in the garden. The menu is varied, and residents are able to choose the food they prefer and like. EVIDENCE: There is currently no formal record of residents’ likes, dislikes and preferred activities. This is an area that the service has identified for development. Despite this, staff showed a good awareness of individual wishes and preferences. The home offers a programme of ‘low key’ activities, such as quizzes, bingo and memory games. Residents said that they enjoy this, and told the inspector how the activities organiser gears the quizzes to individual abilities. Residents also said that they like spending time chatting with staff, and sitting in the garden. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 13 During the inspection, residents received a steady stream of visitors. Visitors consulted, said that they were always made welcome. Staff greeted regular visitors by name, and offered everyone trays of tea. It was clear that residents were able to choose where to receive their visitors. Staff helped one person back to a bedroom, and arranged extra chairs in the lounge for another person. Everyone said that meals at Arrigadeen are very good. Only one person made a criticism, ‘they put too much on my plate, and I feel guilty about leaving anything’. The Cook regularly talks to residents, and knows about individual needs and preferences. The lunchtime meal of faggots, mashed potatoes and peas looked tasty; two people had chosen either a salad, or an omelette instead. These were freshly prepared. Staff gave appropriate and discreet assistance to residents who were unable to eat independently. Homemade cake was served with afternoon tea. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 14 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. 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. Residents and other people involved with the home understand how to make a complaint, and feel confident that their concerns would be addressed. Staff at Arrigadeen know what to do if a complaint is made. EVIDENCE: There is a clear and accessible complaint procedure. Residents and relatives said that they would have no hesitation raising concerns with the person in charge. Staff record complaints on a form, which is given to the matron for action. Complaints received by CSCI were passed on to the provider, and were dealt with appropriately by the service. Staff showed a good awareness of safeguarding issues. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Since the last inspection considerable improvements have been made to the accommodation provided at Arrigadeen. These have benefited both residents and staff. Further work is needed to make sure that the home is kept free from unpleasant odours. EVIDENCE: Since the last inspection, there have been lots of environmental improvements made. The kitchen has been refurbished and a new assisted bath ordered. There is a sluicing disinfector in the home, but this is currently not working. A replacement has been ordered, and was due to be delivered the week after the inspection. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 16 Some bedrooms have been re-decorated and new furniture provided. Staff reported a good supply of manual handling equipment to meet residents’ needs. Residents said that they like their bedrooms, and are able to bring pictures and small items of furniture to personalise these. The home was clean and tidy, but there was a noticeable odour in a number of rooms. This was discussed with Denise Morey during the inspection. She plans to consult her supplier about alternative cleaning products to address this problem. Residents and relatives said that they were very happy with the laundry service at Arrigadeen. Residents’ clothing was spotlessly clean, and well ironed. Similarly, all the bed linen was well presented. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 17 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. 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. Recruitment and training procedures are robust, ensuring that staff have appropriate skills to care for the residents at Arrigadeen. EVIDENCE: Records for two staff appointed since the last inspection were reviewed. These confirmed a robust employment procedure. Staff said that they appreciate the training opportunities they are offered. There was evidence of a thorough induction programme, and ongoing training. Staffing levels meet the needs of the current residents. Staff said that they are kept busy, but have time to chat with residents. Residents said that their needs are met in a timely fashion. During the inspection, call bells were answered promptly. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from an effective management team who promote an open and inclusive style of management. EVIDENCE: Denise Morey is about to submit an application to become the registered manager at Arrigadeen. She oversees the day to day management of the service, whilst Marie Davies, who is a registered nurse, leads on clinical issues. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 19 Mrs Roberts, the Managing Director of Arrigadeen Nursing Home Ltd is actively involved in the service. According to staff and residents this arrangement works well. It is recommended that Mrs Morey and Mrs Davies draw up job descriptions to ensure that there is no confusion about roles and responsibilities. Since the last inspection, a new quality assurance system has been introduced. Copies of this were on display around the home. Staff said that they had been involved in the development plan for the home, and showed a good awareness of the areas for improvement. Copies of a recent resident satisfaction survey were available for inspection. It was apparent that their suggestions had been included in the development plan. The home manages small amounts of money for residents, where requested. Records of all transactions are kept. Staff said that they receive regular supervision and appraisals. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 20 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 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 2 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 X 3 3 X 3 3 3 3 Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP2 Regulation 5A Requirement The registered person must provide service users with a clear statement as to how the nursing element of the fees is managed. Care plans must set out in detail the action to be taken by care staff to meet the social and emotional needs of residents. Residents’ interests must be recorded, to ensure that planned leisure and recreational activities meet their needs, wishes and preferences. The registered person must take appropriate measures to ensure that the home is kept free of offensive odours. Timescale for action 28/09/07 2 OP7 15.1 28/09/07 3 OP12 16.2 28/09/07 4 OP26 16.2 28/08/07 Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 22 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 Refer to Standard OP26 Good Practice Recommendations The broken sluicing disinfector should be replaced. Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Arrigadeen Nursing Home Ltd DS0000020294.V337621.R01.S.doc Version 5.2 Page 24 - 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!