Inspection on 02/05/07 for Clifton Road, 52

This inspection was carried out on 2nd May 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 found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clifton Road, 52 18/10/06

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Clifton Road, 52 52 Clifton Road Grainger Park Newcastle upon Tyne NE4 8DQ Lead Inspector Hilary Stewart Key Unannounced Inspection 2nd May 2007 12:30 Clifton Road, 52 DS0000064263.V337010.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 Clifton Road, 52 DS0000064263.V337010.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. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clifton Road, 52 Address 52 Clifton Road Grainger Park Newcastle upon Tyne NE4 8DQ 0191 298 3614 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) None The Edward Lloyd Trust Ms Judith Louise Wright Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2006 Brief Description of the Service: Number 52 Clifton Road provides residential care for adults who have a learning disability. Nursing care is not provided. The home is a large semi detached house in the West End of Newcastle and looks the same as the other houses in the area. Public transport is available a short distance away. The nearest local amenities are on the West Road. All of the householders have their own bedroom with bathroom. The house has gardens to the front and rear. Inspection reports and copies of the homes statement of purpose are available from the home. Each householder is charged £737.85p per week to live at the home. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 12.30pm and lasted for approximately 5 hours. During the visit the inspector met with the people who live at the home. Other ways the inspectors looked at the home included: • • • • • • • Talking with the householders and staff Talking with the manager Reading the householders files and other care records Watching the staff and householders together Looking around the home Observing the staff and householders at meal times Case tracking some of the householders care plans What the service does well: Staff work hard to support the householders who live at the home to use local services so they are part of the community. There are procedures in place at the home to make sure the people who live at the home are protected and kept safe from abuse. Staff have supervision and training so they know how to provide the people who live at the home with good care. The staff make sure the people who live at the homes health care needs are met so they remain in good health. There is a stable staff team at the home so the householders know most of the staff well. The staff place a lot of importance on involving the people in the daily running of the home so they know that their opinions are valued. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person’s preferences. They treat the people who live at the home as individuals and support them to live the life they choose as much as possible so they will gain confidence. Staff make a lot of effort to enable the people who live at the home to experience a variety of activities so they have more choice. This helps build their self-esteem and confidence. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 6 The staff team make sure that the home is clean, warm and pleasantly furnished so the people who live at the home have a comfortable place to live. What has improved since the last inspection? What they could do better: If all of the staff have training in how to protect vulnerable adults this will give them more skills in how to keep the residents that they care for safe. If all of the householders care plans were complete the there would be an accurate up to date record of their assessed needs and how they can be met at the home. Repairs to the downstairs shower, would improve the look of the home and make it more pleasant for the residents. If more staff worked at the home in the evening and weekends the householders would be able to go out more and have more individual time with staff which would enable them to have more experiences, gain confidence and increase their skills. If more staff worked at the home the manager would have more time to supervise staff and carry out other management tasks so the householders would receive an improved service. If copies of the reports from the monthly monitoring visits were sent to the home the manager would be able to use the findings to improve the service to the householders. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 7 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. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 8 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 Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 9 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 good. This judgement has been made using available evidence including a visit to this service. The people who live at the home have individual care plans so the staff know how to meet their needs. EVIDENCE: The manager said and records showed that the people who live at the home have had their needs assessed and this is an on going process. They have all lived at the home for some time. The manager and staff said that if they had a new admission they would be able to try the service out before they made a decision to move in. The manager and staff said that all of the people who live at the home are involved in their assessments and reviews. Clifton Road, 52 DS0000064263.V337010.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. All of the householders have individual care plans, some were not complete so did not have up to date accurate information about their needs or how they can be met in the home. The people who live at the home are involved in writing their own care plan. They are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager and staff said that all of the people who live at the home have their own care plans. They include a person centred plan. The householders take part in writing their own care plan. Two plans were looked at. They showed that the individual needs of the people who live at the home had been assessed. Some areas of the plans had not been completed; information about self-help skills and physical contact had not been filled in. The manager said that the plans are being up dated at the present time. Householders have an individual plan that shows their hopes and wishes for the future. The manager and staff said that “speak Easy” meetings are held every week for the householders to discuss what they want to do that week. Individual meetings are held with their key worker to talk about their wishes and needs. All of the people who live at the home have an individual record about what they would like or what they are looking forward to that week. They decide on which outings they would like go on, one person is going to a football match another person is raising money to buy a caravan. The householders go to a friendship group and coffee mornings locally. One householder said, “I like going to my cookery classes” and another said that they had been to town. They have all decided that they want to start composting their leftovers at the home to be more environmentally friendly. The staff and manager said that they regularly look at the options open to the people who live at the home in relation to work, leisure and social activities. At the same time they have to be realistic about the choices. Risk assessments are carried out to plan how to minimize the risk. Clifton Road, 52 DS0000064263.V337010.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. The people who live at the home are treated with respect by the staff so they learn how to treat other people with respect. They can take part in various social activities so they can have new experiences and find new interests. They have a nutritious well balanced diet so they learn how to eat healthily. The householders use local facilities so they can be involved with the local community. Staff support them to make their own choices as much as possible so they know their opinions are valued. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 13 EVIDENCE: The manager and staff said that the people who live at the home have the same rights as everyone else to make choices but they have to look at the risks at the same time. The home has a householder’s charter of rights that says what rights they have. The manager said that the householders use the local shops, go to the pub and friendship groups. They go for walks and local people say hello and speak to them. The householders said that they have their friends over to visit them at home one person said “ I see my friends”. On the day of the inspection one householder had been out with their relative. Staff said that all of the householders are in different friendship groups. If they have friends they will encourage and supported to visit them or for their friends to come and visit them. The people who live at the home said that they have their own keys to their rooms if they want. Staff will always ask before they enter their bedroom and that they can have privacy if they want. One person said, “The staff knock at my door”. The home’s menus are based on the known likes and dislikes of the people who live at the home. Staff said that they are always trying to find new menus and to provide interesting things for them to try. The people who live at the home plan the menu each week. They can cook if they want. The staff said that at least three meals are served to the people, which are varied and nutritious. One person said, when asked if the food was good said “yes” another person showed me the menu book which has pictures of different meals and is used by the householders to choose what they want that week. Records showed that the food served was being recorded. The people who live at the home are involved with the shopping and special diets can be catered for. Clifton Road, 52 DS0000064263.V337010.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 who live at the home are supported by the staff with their care needs so they can be as independent as possible. Staff monitor and promote the health of the people who live in the home to maintain their well-being. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 15 EVIDENCE: Staff said and records showed that any changes of medication or medication procedures are recorded and followed in the home. The manager said that some householders are supported to manage their own medication if, following a risk assessment it was found to be safe enough. The medication records were up to date. Any discrepancies are taken very seriously. The manager and staff said that they have had training in how to administer medication. Records showed that the householder’s health care needs are met at the home. Details of health checks, visits to their GP and hospital appointments are recorded in the householder’s individual files. The manager said that the health and welfare of the householders is monitored all of the time. Records showed that personal care needs are planned for and the householder’s health and well-being is discussed during staff meetings. The manager and staff also said that the changing health needs of the people who live at the home are recognised and acted upon Records showed that the manager and staff had consulted other professionals about the changing health needs of householders. The people who live at the home looked smart and well groomed. One person said they go with staff to buy their clothes another said that the staff help them do their washing and ironing. Staff said that they support the householders to choose their own clothes, they will go with them to the shops. Clifton Road, 52 DS0000064263.V337010.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. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about adult protection so the householders are kept safe. If they had training in the ‘Protection of Vulnerable Adults’ (POVA) this would increase their skills and knowledge in how to safeguard the people who live at the home. EVIDENCE: The home has a complaints procedure. This is available to the householders their relatives and carers. Records showed that there had not been any complaints made since the last inspection. The manager confirmed this. One householder said that if they had a complaint they knew what to do. Another householder said that they “felt safe” at the home. The manager said that it is intended that all staff will be trained in the Protection of Vulnerable Adults. Staff could describe the procedure they would follow if an allegation of abuse were made in the home, but they have not all received training. A copy of the Local Authorities adult protection procedures is kept at the home. The home has a POVA procedure. The home has a ‘whistle blowing’ procedure and the manager said that staff have been told about this. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 17 Records are made of the householders’ money and what they spend it on. Receipts are kept and the money is checked everyday. Some householders manage their own money. Clifton Road, 52 DS0000064263.V337010.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, clean and generally in good repair (apart from a few areas) so the residents have a pleasant house to live in. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 19 The bedrooms looked comfortable and the householders have personalised them. They had been made very individual and comfortable. One person said, “ I like my bedroom”. The home is clean, comfortable and is nicely decorated. All householders have their own bathroom. One shower still gets black mould around it, which was caused by damp from the outside wall. The manager said they had reported this to the company who carry out repairs some time ago. Staff said that water temperatures are monitored by staff to make sure the water doesn’t get to hot. Clifton Road, 52 DS0000064263.V337010.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 adequate. This judgement has been made using available evidence including a visit to this service. The staff are trained and some have vocational qualifications in how to care for the householders. People who live at the home are protected by the homes recruitment procedures. This makes sure that only suitable people come to work at the home. Activities at the home are limited sometimes by there not being enough staff. This sometimes stops them pursuing their own interests, which enable them to gain experience and build their self-esteem. Also the manager would have more time to supervise the staff so they are supported to provide the people who live at the home with the care they need. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 21 EVIDENCE: Records showed and staff said that they receive training, which helps them with their work. One member of staff said that they felt the training gave them more insight into working with the householders. They said they felt supported by their manager. Records showed that staff were not getting individual supervision when they should and they had not had a staff meeting for some time. The manager and staff said that this was due to the home not having enough staff. They have staff sickness and vacancies so the manager has to work on the rota and does not have time to carry out management tasks. One householder’s relative said that “ on the whole it is a good service “, “ the care is the best, this is partly the training and partly the type of people they are”. They went on to say, “ staffing can be an issue, and they seem to pull in pool staff a lot”. Enough staff were on duty during the inspection. However records showed that only two staff were on duty over the weekends and after 5pm during the week. This still limits how often the householders can go out and leaves little time to go out individually. Staff said that having more staff would “enable the householders to have more 1 to 1 time with staff” and “go out to follow their own interests”. The manager said that 4 staff and themselves have completed vocational qualifications in the care of adults. Clifton Road, 52 DS0000064263.V337010.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 40 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience and is in the process of completing vocational qualifications to run the home well so the householders are well cared for. The home has a quality assurance system so the service the residents get is looked at and improved. Resident’s views are sought about how the home is run as much as possible, so they know they are listened too. There are procedures in place to promote the health and safety of the people who live in the home so they are protected and kept safe. Monitoring visits of the home take place and most copies of the reports are sent to the home so the manager and staff can act upon any issues and improve the service to the residents. Some reports had not been received by the home. Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager said that they have the relevant experience to run the home and hope to complete a recognised vocational qualification in the future. Records showed that checks had been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that regular fire drills take place. Fire instruction is not being carried out at the required intervals. Staff said that they have fire drills. Some of the householders said that they have taken part in fire drills at the home. They could say what they would do if their was a fire one person pointed at the door when I asked what thy would do if the fire alarm sounded. Records showed that regular training is provided for staff in fire safety, food hygiene and first aid. The manager said that the home has regular monitoring visits. Records showed that the reports are sent to the home so the manager and staff can act upon any issues in them. The manager said that the householders are asked their views about the running of the home and the home has a yearly improvement plan. They did not have a copy of this in the home. Clifton Road, 52 DS0000064263.V337010.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 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 3 X X x Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 25 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. 1. Standard YA6 Regulation 15 Requirement The registered person must make sure that the care plans are complete and contain up to date accurate information. The registered person must make sure that all staff must receive training in the protection of vulnerable adults. (timescale of the 01/12/06 not met ) Repair the cause of the mould in the downstairs shower. (timescale of the 01/12/06 not met). The registered person must make sure that sufficient staff are on duty at the home to meet the needs of the householders. (timescale of the 01/12/06 not met ) The registered person must make sure that all copies of the reports from the monitoring visits are lodged at the home. (timescale of the 01/12/06 not met ) DS0000064263.V337010.R01.S.doc Timescale for action 01/07/07 2. YA23 13 01/07/07 3. YA24 23 01/07/07 4. YA33 18 01/07/07 5. YA39 26 01/07/07 Clifton Road, 52 Version 5.2 Page 26 6. YA36 18 The registered person must make sure that staff are supervised at the required intervals. 01/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Clifton Road, 52 DS0000064263.V337010.R01.S.doc Version 5.2 Page 28 - 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!