Inspection on 31/10/06 for Breton Court

This inspection was carried out on 31st October 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Breton Court 07/02/06

Breton Court 25/07/05

Breton Court 04/10/04

Breton Court 20/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Breton Court Grange Road St Michaels Tenterden Kent TN30 6EE Lead Inspector Mrs Sally Gill Unannounced Inspection 31st October 2006 09:45 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 Breton Court DS0000023324.V307118.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. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Breton Court Address Grange Road St Michaels Tenterden Kent TN30 6EE 01580 762797 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) Tenterden Care Homes Limited vacant Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: Breton Court is registered to provide accommodation for up to 28 older people although due to changing all rooms to singles only accommodates 26 and admits low to medium dependencies. The company, Tenterden Care Homes Ltd owns the home. There is currently a temporary manager, Mrs Margaret Phillimore who has day-to-day control of the home. The premise is a purpose built detached property with all accommodation for residents on the ground floor suitable for wheelchair access. There are 26 single rooms, eleven of which have ensuites. The residents have the use of four bathrooms. There is a dining room and lounge over looking a large wellmaintained garden to the rear with mature shrubs and a secure duck pond. Each room has a call bell for residents’ call for assistance should it be needed. All rooms have a television point. A telephone can be installed in rooms by arrangement. There is car parking space to the front of the Home. The Home is set in a quiet residential area in the village of St. Michaels. Within a short distance there is a church, public house, shops including a post office and the bus stop. Tenterden town centre is approximately one mile away. The current fees range from £400.00 to £650.00 per week. There are additional charges for hairdressing, magazines and newspapers, chiropody, telephone, personal toiletries and holidays. A copy of the latest inspection report can be viewed at the home. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was carried out over a period of time and concluded with an unannounced site visit to the home between 9.45am and 6.40pm. Twenty-two people were living at the home, three were in hospital and there is one vacancy. The inspector spoke to residents, staff, the manager, the owner and two district nurses visiting on the day. Observations included interactions between residents and staff. The inspection process consisted of information collected before and during the visit to the home. Surveys were sent to relatives, care managers and the GP surgery. Feedback was received relatives and a care manager. Various records were viewed during the inspection. The inspector accessed the both offices, communal areas, kitchen and six bedrooms. The home acknowledges that due to the recent changes in managers some systems have slipped and are not up to date or robust as previously. All residents and professionals spoken to confirmed that these changes have not affected the care provided. What the service does well: Residents feel staff are very caring and say they are treated with respect at all times. The staff team showed commitment and enthusiasm. Residents described individual little touches from staff members that make this a pleasant place to live. The home employs dedicated staff to provide and encourage a variety of activities to residents. There are regular visitors, outside entertainers, outings and fayres. Good relationships are maintained with visiting health care professionals. Relatives were very positive in their comments about the home. The home provides a wide choice menu with a real emphasis on home cooking resulting in appetising and nutritious meals. The home provides a welcoming, warm and pleasant environment and is always clean and well maintained. It is located in a quiet country setting with attractive grounds surrounding the building. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 6 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. Breton Court DS0000023324.V307118.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 Breton Court DS0000023324.V307118.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, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information they need to make a decision about moving into the home. Residents have terms and conditions that they have agreed with the home. Residents that move into the home have their needs assessed and can be assured that these will be met. Residents have the opportunity to visit the home prior making a decision to move in. Intermediate care is not provided. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 9 EVIDENCE: The administrator advised that all residents have received a copy of the homes statement of purpose and service user guide. This has recently been updated to reflect the changes and will be re-distributed and displayed. Residents have a contract in place, which are signed and agreed. Residents said that they or their families had visited the home prior to admission to have a look round. Staff had also visited them in their own environment to undertake an assessment of their needs. These assessments generally contained good detailed information. Where residents are funded by social services a copy of their needs assessment had been obtained. Intermediate care is not provided. Breton Court DS0000023324.V307118.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual care plans contain sufficient detail to ensure residents personal and social care needs can be met by staff. Resident’s health care needs are currently met. But better monitoring of accidents could reduce the risk of falls. Residents feel they are treated with respect and their right to privacy is upheld. There are shortfalls in the medication system, which could leave residents at risk. EVIDENCE: Care plans clearly show the needs and goals of residents and how staff are to help them achieve these. Care should be taken when reviewing care plans as although they were up to date at the time of inspection a previous review had Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 11 been recorded as no change although in the detailed daily log kept it appeared there had been a change at that time. Resident’s health care needs are currently met. Falls assessments and risk assessments are in place. However the accident book showed quite a high number of falls, which was also highlighted at the previous inspection. The manager has already taken some action to try and minimise these risks. It is again recommended that the home should undertake a regular audit of accidents/falls. A physiotherapist has been involved with one resident. The professionals who have agreed to the use of cot sides should sign the risk assessment. Accidents/incidents are reported to the commission appropriately. District nurses agreed that recent management changes had not affected the good care residents receive. They say that they are always made welcome, this was one of the cleanest homes they visit and any advice and guidance given to staff is followed through into their practice. Residents said they are treated with respect and their right to privacy is upheld. There are no shared rooms. Medication systems were examined. Records for as required medicines have been improved. There were a few administration-recording gaps always at the same time of day. Not all handwritten entries on medication records were dated, signed and witnessed. Internal and external medication should be stored separately. Prescription creams should be signed for when applied. Where these are held in bedrooms risk assessments must be in place. Staff that administer medication have received training with one staff member undertaking an in-depth course at present. Breton Court DS0000023324.V307118.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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes routines are flexible and residents are able to exercise choice in their day-to-day lives. There is dedicated staff that provides a variety of activities. Residents keep in contact with their families and friends. Residents are offered a wide choice of appetising and wholesome food with an emphasis on home cooking. EVIDENCE: Interests and preferred activities are recorded in the care plans. The home organise a variety of board and card games such as giant crosswords, bingo, Hoy and other group games. Regular outside entertainers are also bought in and outings and fayres organised. A vicar comes in and gives communion and a hairdresser visits twice a week. There is a quiet area where residents can sit with a variety of books to read. Some take daily newspapers and do quizzes. Residents stated that activities had not been so ‘plentiful’ in recent weeks due to a staff member leaving. But a new activities organiser has been Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 13 appointed and the manager hopes to expand the variety of activities on offer. Some residents prefer to stay in their rooms, spend time or walk in the garden and this is respected. Residents all talked of visitor’s families and friends. Residents said they were able to exercise choices in their day-to-day lives. Relatives all gave positive feedback stating they were happy with the care provided. One said ‘staff have given my mother a lot of extra care and attention – beyond the call of duty at times. Their approach is always really thoughtful as well as caring. She is flourishing’. Menus are planned ahead and include a wide choice including a vegetarian menu and special diets. Most residents take breakfast in their rooms on trays. Lunch and tea is encouraged in the dining room which is a pleasant setting overlooking the garden and duck pond. Some residents do choose to eat in their rooms. It was apparent that the cook was familiar with likes and dislikes. Residents said they had plenty to eat. Comments about the food ranged from ‘excellent’ to ‘all right’ and ‘OK’. The home took on board comments made by resident’s including that some would like more fresh fruit and at times instead of a pudding. Breton Court DS0000023324.V307118.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s feel their views are listened to and any issues are resolved. There could be improvements to ensure residents are fully protected from abuse. EVIDENCE: No complaints have been received by the home. Residents said they were happy to speak to staff if they had any concerns but no one could think of any. The complaints procedure was displayed within the home. The home does not hold any monies for residents or deal with their finances. Information on advocates is displayed. One staff member that had received adult protection training was aware of where to report abuse outside the home. It is suggested a flow chart of routes to report abuse is available for staff and the home should ensure that all staff know where to report abuse. Staffs training records are to be audited to ensure all staff has received adult protection training – see staffing standards. Shortfalls in recruitment procedures, which could leave the residents at risk, are dealt with under staffing. Breton Court DS0000023324.V307118.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, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a pleasant, well-maintained and homely place in which they can remain as independent as possible whilst receiving the care they need. Although the home is spotlessly clean some minor improvements are needed in the kitchen to ensure it is as hygienic as possible. EVIDENCE: See also a brief description at the front of this report. Over recent years the residents have benefited from improvements and refurbishment in several areas of the home. The environment continues to be well maintained. Residents enjoy the grounds, which are pleasant, accessible, and well maintained. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 16 Toilet and bathing facilities are accessible and equipped to meet the needs of residents. All residents said they are happy with their rooms. Which were bright, comfortable and contained lots of personal belongings. The administrator advised that all radiators are now covered with low temperature surfaces. Although cold outside the home was warm on the day of the visit. Everyone stated that the home is always spotlessly clean. There were no offensive odours and staff follow good hygiene practices. Highlighted areas in the kitchen need minor attention to ensure they are completely hygienic. It is recommended that an audit of the kitchen be undertaken to identify all areas that need improvement. Breton Court DS0000023324.V307118.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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a very caring staff team some of which are qualified and trained but the team could be more effective if there were improvements to records and training opportunities. Residents are not protected from a robust recruitment practice. EVIDENCE: Recently there has been a considerable turnover of staff. However new staff have been recruited and the use of agency reduced. Residents said their care had not been affected although new staff could have better training as they did not always do things as well as experienced staff. An example was given. At the time of the visit there were 25 people living in the home. The manager is full time. There is enough care staff to meet the needs of residents, which was agreed by residents. In support there is also a cook, kitchen assistant, domestics, laundry assistant, administrator and a company handyman. Six staff have completed an NVQ and two are ongoing. This is just short of the 50 target. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 18 Improvements are required to recruitment practices and systems. The application form should be reviewed in the light of the amended Care Homes Regulations and also to ensure it meets new age discrimination legislation. The home must ensure that application forms are completed with full information. Appropriate references must always be obtained (one must be the previous employer) and other checks carried out before staff can work in the home. An immediate requirement was issued that staff could not work with residents until appropriate checks are in place. All staff had worked with experienced staff as part of their induction. Some staff did not appear to have undertaken a formal induction programme. These have now been started. The home had begun to update their programme of induction reflecting the latest Skills for Care programme. The manager agreed to audit all staff files in relation to recruitment and induction training. Any shortfalls will be addressed retrospectively. Some staff training is ongoing with courses through a local college. Staff training records were not fully up to date. The manager agreed to up date the records, then complete an audit of training and produce a plan to address any shortfalls. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is committed and works hard, she runs the home in the best interests of the residents but the home would benefit from the post being filled on a permanent basis. Better record keeping and monitoring may enhance resident’s health, safety and welfare. EVIDENCE: The manager that was appointed just prior to last visit has left. The owner has brought in an experienced temporary manager to run the home day to day until a new manager is appointed. The interviews were taking place during the week of the visit. The current manager has previously been a registered manager and is a registered nurse. She has a wealth of knowledge and experience and is working hard to bring things back up to the usual standard Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 20 at Breton Court. All residents and staff spoke very highly of her commitment and felt she is very approachable. Residents felt their care had not been affected by the changes. Staff said that although the home had been through an unsettle period things were beginning to settle down again. Consulting residents over recent months has mainly been informal. The manager said that she always walks round to see residents each day and has also worked on shift to ensure she is familiar with what is going on in the home. Residents feel that any issues they raise are addressed. The manager said her focus has been on the care delivery, which has left a slip in other areas. An annual quality assurance questionnaire is sent out to all residents and those involved in the home. The administrator has developed a selfassessment based on the National Minimum Standards and outcomes for residents, which the home hopes to implement when the new manager is appointed. Regular regulation 26 visits made by the owner could audit systems and files better to ensure staff are following the home polices and procedures. All professionals’ comments were positive about the staff and the environment. The home does not hold any resident’s monies or having any dealings with their finances. Staff supervision again has been informal. The manager said she had met with every staff member of staff when she arrived. All staff felt well supported by the manager. Formal staff supervision should be restarted. Since the last visit staff training has taken place including first aid, food hygiene, manual handling and fire. Further staff are currently attending twelve week courses in health and safety and infection control at a local college. Accidents and incidents were recorded appropriately. See earlier comments regarding the monitoring of accidents/falls within the home. Information received stated that all necessary tests and servicing are carried out. Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 21 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 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 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 2 3 3 3 X 3 3 3 2 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X 2 2 2 Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) 17(1) Requirement The home must operate a safe system for medication (internal/external storage, administration-recording, handwritten entries on MAR sheets dated, signed and witnessed, storage of prescription creams risk assessed and administrationrecorded) The home must comply to DOH guidance in relation to POVA 1st and CRB disclosures and timescales (immediate) The home must adopt robust recruitment practices fully completed applications, gain appropriate references) Timescale for action 30/11/06 2 OP29 19(1) 31/10/06 3 OP29 19 & 17 Schedule 2 18, 19 & schedule 2 18 & schedule 2 30/11/06 4 OP30 OP29 5 OP30 Audit all staff files in relation to 14/11/06 recruitment and induction training and address any shortfalls retrospectively Up date staff training records, 30/12/06 complete an audit of training and produce a plan to address any shortfalls DS0000023324.V307118.R01.S.doc Version 5.2 Page 23 Breton Court 6 OP36 18 One-to-one staff supervision to 30/11/06 take place for all staff at least six times each year (previous timescale of 31/03/06 not met) 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 OP8 Good Practice Recommendations The home should undertake a falls audit and, if indicated, seek the advice of an occupational therapist and/or chartered physiotherapist about the prevention of falls in the home (brought forward from the previous inspection) All staff should be aware of the routes to report suspected abuse An audit of the kitchen be undertaken to identify all areas that need improvement to ensure good hygiene Implement new Skills for Care induction training and timescales 2 3 4 OP18 OP26 OP30 Breton Court DS0000023324.V307118.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Breton Court DS0000023324.V307118.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!