Inspection on 31/07/07 for Chy Koes

This inspection was carried out on 31st July 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.

Other inspections for this house

Chy Koes 08/08/06

Chy Koes 20/03/06

Chy Koes 26/01/06

Chy Koes 08/12/04

Chy Koes 22/06/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

Honeybourne House

12 Orchard Mews

Stallcombe House

Stepping Stones

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

CARE HOME ADULTS 18-65 Chy Koes Chy Koes Woodland Road St Austell Cornwall PL25 4RA Lead Inspector Elaine Bruce Key Unannounced Inspection 31st July 2007 08:30 Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chy Koes Address Chy Koes Woodland Road St Austell Cornwall PL25 4RA 01726 76045 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) Cornwall County Council Mrs Anne Davies Care Home 3 Category(ies) of Physical disability (3), Sensory impairment (3) registration, with number of places Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Physical disability- Code PD 2. Sensory impairment- Code SI The maximum number of service users who can be accommodated is 3. Date of last inspection 08/08/06 Brief Description of the Service: Chy Koes is situated on the outskirts of St Austell. The home occupies the ground floor of a building that incorporates a separate care home for older people on the first floor. There is a large garden with lawns to the rear of the building with garden tables and bench seating. Ramps are provided for easy access. There is limited car parking space at the front of the home. The home provides respite care for up to three adults with a physical or sensory disability. Accommodation is provided on one floor and service users can access all areas. There is a spacious lounge with a dining area and a well equipped kitchen. There is a large shed in the garden for smokers that is heated and has furniture and a television. Assisted bathing and showering facilities are provided and all rooms have accessible call bells. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection at Chy Koes was an unannounced inspection that commenced at 0830 on the 31st July 2007 and took place over four and a half hours. The registered manager was on duty during the course of the inspection. She was busy interviewing candidates for an assistant officer post vacancy and communicated with the inspector prior to and after the interviews. In her absence an assisted officer was spoken to. Chy Koes is a small home (3 beds) that is offering a short stay respite service. The accommodation is suitable for anyone in a wheelchair. Time was spent with the two people at Chy Koes staying for their fortnight respite care. They gave very positive comments on the standard of the care that they are receiving at the home. One of them filled in a survey form which again indicated complete satisfaction with the service. Time was also spent at the inspection talking to staff, inspecting the premises, inspecting care and staff records, medication and the standard of meals at the home. Prior to the inspection an annual quality assurance assessment form had been completed by the home. The information in this document is referred to in this report. What the service does well: Discussions with the two people staying at the home and a completed survey form indicate that Chy Koes is offering a service that meets individual need in recognising the choices/wishes of the people who attend the home for their respite stays. For example during the course of the inspection it was apparent that rising times are open, how the day is spent is totally up to the individual and all meals are completely a free choice. Staff interaction with the people in the home was noted to be good. One person commented: “it is great here, everyone is very kind, especially my key worker”. Training to staff at the home is good and all staff have recently received equality and diversity training as well as training on the mental capacity act. Chy Koes DS0000039607.V339759.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. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Procedures are in place prior to admission to ensure that the people being admitted to Chy Koes can be confident that their needs will be met. EVIDENCE: All the people who stay at Chy Koes access the facility by the care management process that involves a social care and financial assessment. The assessment is requested at the time of the referral and is then discussed to ensure that the home can meet the needs of that person. In addition an assessment by the manager or an assistant manager takes place again to establish that the home will be able to meet the care needs of all prospective people being admitted. This may not happen routinely every time with someone who is known to the respite resource of Chy Koes, but would always take place where there had been a change in care needs. Prospective people and their families can visit Chy Koes to see the facilities before they decide to stay. Each prospective person is given written information to include the statement of purpose document and service user Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 9 guide to allow them to make their own decisions on the suitability of the resource. The people who stay at Chy Koes are provided with a contract of care which states the terms and conditions of the placement as well as the weekly cost of the stay. Admissions take place for 1400 and departures are before 1030. In the annual quality assurance assessment document the home recognises that the time between the initial referral and the home visit could be reduced and they have plans in hand to improve this. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans evidence that individual needs are being met in a way which respects the rights and choices of the people staying at Chy Koes. EVIDENCE: Each person at Chy Koes has a comprehensive care plan in place which has been discussed and agreed with the person and their family/representative. The care plans include all aspects of health and social care including a life history and is “goal” orientated with actions in place to meet needs. There are appropriate risk assessments in place and evidence of individual preferences and choices. A copy of each plan is given to the person in the home and they are involved in discussing their care planning documentation. There is evidence in place that the care plans are reviewed on an ongoing basis and always when that person is re-admitted to the home. Relevant daily information for each person is recorded on a contact sheet held in the individual persons file. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 11 Chy Koes aims to recognise personal dignity, privacy and individuality whilst encouraging independence and the right to take risks. One of the people staying at Chy Koes said “it is great here, everyone is very kind, especially my key worker”. The other person staying at Chy Koes stated “I am very happy here, the food is excellent”. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person staying at Chy Koes is encouraged to pursue their interests and hobbies and staff can provide assistance where required. EVIDENCE: The assessment process and discussion with the person (and their representative) identifies and agrees their plan of activity and appointments that that person would wish to continue with during their stay. The home has just appointed an additional staff member who will have responsibility for driving the mini bus that the home has. It is anticipated that the number of outings out from the home will therefore increase to the benefit of the people staying there. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 13 When people attend Chy Koes for their respite stay they are encouraged to go out to the shops, churches, library and cinema as they wish. A disclaimer form is encouraged to be signed for when people are totally independent. Good risk assessments are in place for going out on the bus with the people in the home. Evidence is in place of the trips out that the two people presently staying at Chy Koes had been. One of the people spoken to said that she loved going out from the home. Enablers are arranged for activities outside the home and people also attend workshops and day centres. In addition, people are encouraged to pursue their interests and hobbies when staying at the home. People can telephone their family and friends at any time and they can visit at any reasonable time. All visitors to the home are encouraged to sign the visitors book in the entrance of the home. All the staff have responsibility for meal preparation at the home and staff have been trained to the basic food hygiene certificate level. A menu is in place and a record of all meals provided also in place. Each person is asked at every meal what they wish to eat and drinks are also regularly provided during the course of the day. The main meal of the day is eaten in the evening. On the day of the inspection one person wanted cheese on toast for lunch with another wanting salad and meat. These choices were fully provided for. The kitchen is well stocked, tidy and clean. Fresh produce is purchased daily and all special dietary requirements are met. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Chy Koes can be confident that their personal and health care needs will be met. EVIDENCE: Mealtimes, bedtimes and other activities are flexible to support and respect the wishes of the people in the home. Support and assistance with personal care is given as required and recorded in the care plans. Equipment is provided according to individual needs. Individual preferences are taken into account and recorded. Specialist support from occupational therapists and physiotherapists is given as required. People maintain their contact with their general practitioners and community nursing staff provide support as required. The home have just recently commenced a key worker system which will allow for particular additional responsibilities for the staff member to the benefit of the person staying in the home. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 15 The home does not maintain stocks of medication as the people coming into the home bring their own medicines with them and any surplus is returned home when they leave. Medication administration records were found to be completed appropriately on the day of the inspection. Any person who is assessed as able to self-medicate is provided with a lockable facility in their bedroom. All staff who have medication administration responsibilities have received accredited medication training which has recently been updated with a “refresher day”. The home has in place a good practice medication policy and procedure to guide staff on safe practice. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Chy Koes can be confident that any concerns or complaints are treated seriously and that they will be protected from abuse. EVIDENCE: The home has in place a satisfactory complaints policy and procedure. There is also a leaflet in the home detailing “How to make a comment, compliment or complaint”. There is a system in place for recording all complaints including details, investigations and outcomes. The home has had no complaints to date. There is a suggestion /comments book for visitors/people/families/staff. The people in the home are aware of who to complain to and how to do this. The manager has just recently received “complaints” training which she stated was very good. Nearly all the staff employed at the home have received adult protection training with those that have not being booked onto a course. All staff have received adult protection training in their induction and or NVQ training. Cornwall County Council’s policy and procedures on adult protection have recently been updated (March 07). It is recommended that all staff now read this new guidance. Whistle blowing policies and procedures are also in place. Information in an easy read format is provided in the entrance of the home on adult protection issues. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 17 Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Chy Koes stay in a pleasant, well maintained home that is comfortable, warm and clean. EVIDENCE: Chy Koes provides a respite care service for people with a physical disability with care needs ranging from low to high levels of dependency. The environment is suitable for people in a wheel chair. There is a large communal lounge/dining room and a smaller communal room with a computer. Patio doors from the lounge lead into the garden. In the garden is a smoking shed (smoking is not permitted inside the home). Access to the garden from the lounge is on the level. At the front of the home car parking is available although this can be busy at times. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 19 The home has three single bedrooms each with their own hand basin and call bell system. Each bedroom has an adjustable height bed and a lockable space is provided for the storage of money and valuables. Radiators are noted to be of low surface temperature. Within the home is a large shower room with a w.c., an adjustable height wash hand basin and grab rails. The shower can be used whilst sitting, standing, or in a shower wheelchair. There is also a large bathroom with adjustable height bath and wash hand basin and electric ambulift to offer maximum independence. The home was found to be very clean on the day of the inspection. All the staff have cleaning responsibilities/duties. The laundry is provided with suitable equipment to meet the needs of the home. A good selection of protective clothing is provided for infection control purposes. A part time staff member has recently been employed for house keeping duties. On the afternoon of the inspection the home were due to receive an inspection from Cornwall County Council fire brigade department. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Chy Koes are cared for by capable and caring staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment procedures protect vulnerable people. EVIDENCE: All the staff are issued with job descriptions that are specific to Chy Koes. The care staff fulfil all the kitchen and laundry duties in addition to their care responsibilities. Laundry duties for the staff will decrease as a staff member has been specifically employed for these duties. During the day there are two care staff members on duty to undertake these tasks. On the day of the inspection there were two care staff and one assistant manager. The manager was undertaking interviews to select a new assistant manager for the home. At night there is one waking staff member and one sleeping in staff member. Cornwall County Council has a comprehensive recruitment policy and procedure that is adopted within the home. Staff files inspected contained completed application forms and criminal records bureau checks. There is a Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 21 six month probationary period for all new staff. New staff members receive induction training that meets the Skills for Care guidance. Training needs are identified through the annual appraisal and supervision process. A training matrix is then put in place which shows when training is due and what has taken place. An assistant officer has training responsibilities in developing and keeping up to date the training matrix. Staff files inspected showed a good selection of training evidence to include statutory and good practice training. The majority of the care staff have undertaken a level 2 NVQ qualification in care with a number of staff having an NVQ 3 qualification. On the day of the inspection the NVQ assessor attended the home to support the assistant officer with her studies for her NVQ 4 qualification. The majority of the staff have just attended training in equality and diversity as well as the Mental Capacity Act. Staff at the home are receiving regular support and guidance from the manager through the supervision process and regular staff meetings. On the afternoon of the inspection an agency staff member was being used due to annual leave and staff sickness. It is anticipated that this resource will not be required soon due to recent recruitments. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people at Chy Koes stay in a well managed home. Management and the staff team strive to provide a stimulating, safe environment where people are respected and their rights upheld. EVIDENCE: The registered manager is a level one registered nurse who has also obtained her registered managers’ award qualification. She keeps her nursing qualification up to date and regularly attends statutory and good practice training. She has recently undertaken equality and diversity training, bereavement and loss, peg feeding, IT training and complaints training. The Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 23 manager works full time hours over a four day week and is on call when not working at the home. She is supported in her duties by assistant managers who have all been given specific responsibilities. One of the assistant managers on duty on the day of the inspection presented as knowledgeable and capable around her specific tasks and responsibilities. Monthly statutory visiting reports from the responsible individual are being received by the CSCI as required by legislation. The manager attends monthly Cornwall County Council managers’ meetings and holds regular meetings for her own team. She is soon to receive additional administration support in the form of a part time clerical post being filled. The home has carried out a quality monitoring audit of their service and generally feedback in the questionnaires looks positive. It is though appropriate for this documentation to now be analysed and brought together with action points for improvements where necessary. The management and safety representative have a commitment to the health and safety of the service users. There are health and safety risk assessments in place, including detailed fire risk assessments. Heating and electrical systems within the home are serviced and maintained. All hot water taps have water regulators that ensure legal compliance. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard YA23 Good Practice Recommendations For the staff to read the updated adult protection guidance and evidence that they have done this. 2. YA39 For the results of the quality monitoring/audit to be brought together and analysed. Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Chy Koes DS0000039607.V339759.R01.S.doc Version 5.2 Page 27 - 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!