Inspection on 23/05/07 for Driftwood House

This inspection was carried out on 23rd May 2007.

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 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

Driftwood House 06/03/07

Driftwood House 17/10/06

Driftwood House 17/02/06

Driftwood House 09/09/05

Driftwood House 05/04/05

Driftwood House 01/12/04

Driftwood House 08/11/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Driftwood House Lynn Road Hunstanton Norfolk PE36 5HL Lead Inspector Ruth Hannent Unannounced Inspection 23rd May 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Driftwood House DS0000027358.V341649.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. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Driftwood House Address Lynn Road Hunstanton Norfolk PE36 5HL 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) 01485 532241 01485 535037 Mr Roy Alfred Kent Not applicable Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th March 2007 Brief Description of the Service: Driftwood House is situated in a residential area, close to the sea front and town centre of Hunstanton. Originally a hotel, the building occupies a corner site in attractive grounds with a large car park and was adapted by previous owners as a residential care home. The registration category is for older people and accommodation is available in 18 single and 2 double rooms. At present all 20 rooms are being used for single occupancy. Fees £300 - £350 Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key Inspection report has been completed following a visit to the Home that was taken over a period of four hours. Information prior to the visit has been included within this report such as a questionnaire that is to be completed annually and is used to check the quality of the service provided. No comment cards from relatives were received on this occasion but comments on the day from residents, staff and relatives are noted. Over the period of time since the last key inspection in October 2006 and a random visit again in March 2007 the home had received an improvement plan from the Commission that was completed by the Manager and shared with the Commission and Social Services at a meeting in April 2007. This inspection visit was also to look at those improvements and ensure they meet the standard required. Overall the Home has improved in the Management of the Home and when the building works are completed the Home should be running well. The residents throughout are happy and cared for appropriately. What the service does well: What has improved since the last inspection? The Home has greatly improved the management systems within the Home. There are much clearer care plans, more detailed risk assessments and much improved training programmes that will travel with the staff from induction through to all the relevant knowledge and skills required to care correctly. The Manager has been taken off the duties of care rota to be able to concentrate on the role of the Manager and although now has office time will keep a close eye on what is happening on the floor. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 6 The Home now has radiator covers in place to ensure that heating is adequate and safe for each resident. Risk assessments have been written while the building works are taking place to ensure all possible preventatives are in place for the safety of the resident’s, staff and visitors. 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. Driftwood House DS0000027358.V341649.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 Driftwood House DS0000027358.V341649.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home does assess the primary needs of potential residents to ensure they can be met . EVIDENCE: On the day of the site visit a resident who had been admitted for three weeks respite appeared happy and contented. The information in the assessment document gave a picture of need for this person and on seeing this person it was apparent from the details written that the lady had improved since her admission. On talking to this person it was clear that the primary need for residential care were due to memory problems with questions not being able to be answered even though time was spent trying to word the questions that would assist with the answers. This persons physical needs are more for prompting and encouragement with this person appearing to respond well to staff and company. Although the Home is not registered to take people who Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 9 have dementia related problems, the Inspector was satisfied that the assessment that her needs could be met was appropriate. Driftwood House DS0000027358.V341649.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall care of all personal, health and social care is now clearly in place and offered with dignity, however there is some improvement required in the medication procedures. EVIDENCE: Since the last inspection visit in March the Home has changed all the care plans to the ‘Mulberry House’ model that has improved the quality of the care plans greatly. The information is easy to obtain and reviews are carried out with changes that are needed written and dated. At present the care plans are held in a locked cabinet and the risk assessment for each person held in the persons room. It is recommended that the documents that belong to the person are all held in the same file and easily accessible for reports to be written by staff as they carry out their care tasks. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 11 The Home is supported well by the District Nurse team who are regular visitors to the Home. The Manager is having some concerns with the GP practice at present due to difficulty in obtaining appointments for residents. This is about to be addressed with the GP surgery Practice Manager in a meeting planned for the week following this inspection. The residents are all registered with local practises and have a recording sheet for all health concerns and action required. Comment cards received from health professionals at the beginning of the year (prior to the inspection earlier this year) stated that staff at the Home do work well with other professionals. The medication is in packs supplied by the local Boots chemist with a good system and communication in place with this branch. The MAR charts now all have the photograph of each resident and staff have recently had an update in their training on medication from Boots. On looking through the MAR charts it was noticed that medication had been issued without the staff member placing initials in the box. This had occurred a few times and in checking the staff rota this was carried out by one staff member and the competency of that staff member needs to be checked by the Manager (Requirement). It was also discussed that when a person arrives with medication or a resident has loose medication that is not in the secure Boots pack that an audit trail is in place to ensure medication received in, is recorded and the number left/returned or used is the correct number that corresponds with the MAR sheet. (Requirement). The residents are treated with privacy and dignity. All doors are knocked on before entry. (This was noted on three separate occasions). Everyone is in their own clothes, which, on talking to two people, they have chosen themselves that morning. One concern raised was the use of one resident’s bedroom for the chiropodist to use to cut all the residents nails. This was discussed as not appropriate and once the new build has been completed a designated room will be available. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able and have choice in the lifestyle they wish to lead with friends and families involved within that lifestyle. Meals are offered with choice and appear to be enjoyed by residents. EVIDENCE: The programme for the week of activities is posted in the entrance and on the notice board. It was noted that the ‘knit and knatter’ was not taking place on the day of the site visit as the chiropodist was in the building but plenty of conversations and staff interaction was taking place. At the beginning of the week an organist had been in to play to the residents and further outside entertainers are planned. The library calls regularly and changes books. There are birds in an aviary outside and a budgie in a cage indoors that give pleasure to the residents. A nice conversation with three residents was overheard as they sat enjoying the sun and talking about the colourful plants. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 13 Throughout the day of the visit relatives were arriving and two were spoken to. They both felt they could visit at any time and were always made welcome. There are areas in the home where people can sit privately but with the building works taking place at the moment this is not so easy but should be rectified by the end of the summer on the completion of the alterations. It was noted that since the last inspection in March many pages in the visitors book have been filled in, showing many visitors over the two month period. The Management encourage families to take responsibility for their relatives finances if they are unable to manage their own and will direct them to the advocacy service. Only the week of the inspection a family had been put in touch with an agency, which was discussed with the Manager in detail. The meals are offered to the residents with choice. The menu is on display and the cook will ensure their choice is available. The meal on the day of the inspection was a sausage pie, which was enjoyed by the three people who were asked. A few of the residents were unable to remember what they had eaten and a suggestion for the home is to have menu’s on the table as memory prompts. (Recommendation). One lady has a soft diet that is always observed while this person eats and is also noted in the risk assessment of the care plan. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, relatives and friends can be assured that they will be listened to and their concern/complaint acted upon. Systems are in place to help protect residents form abuse. EVIDENCE: The Home have been in close contact with the Inspector over the past two months regarding a complaint that has been thoroughly investigated. The Management have ensured that all conversations regarding the complaint have been recorded. The outcome has been resolved. The complaints procedure is in place and will be followed quickly by the Manager to prevent issues escalating. The Commission has not received any other complaints. On the inspection in March it was noted that staff have received the training on the protection of vulnerable adults and on talking to two staff members they both knew their responsibility to report on any concerns and felt able to talk to the Manager if they needed to blow the whistle on any concerns. Driftwood House DS0000027358.V341649.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, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment will be much improved once the building works have been completed. The Home must remember that each bedroom is the private space of the individual resident and not use it for other purposes. EVIDENCE: The Home is still in the middle of the alterations to the property and this is still causing problems for the day to day life at the Home. The main lounge has windows that are covered in plastic at present while the building of the lounge is extended. (There is now a risk assessment to cover the alteration/building Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 16 work that is kept in the office). The areas that have been completed are now being used with some bedrooms made cosy and individual for the residents. On the day of this visit the Chiropodist was in the building assisting with residents toe nails and all morning was using a residents bedroom to carry out this task. This is not suitable and a designated area must be found to ensure resident’s rooms are not used for general use. (Requirement) The radiator covers that were required are now in place and residents still have access to control the temperatures if they so wish. The Home has recently received a visit from the fire officer and some requirements made have already been put in place. All fire extinguishers now have a service date on them for March 07, which was a requirement at the last inspection. The staff at the Home are trying their best to keep the Home as clean as possible while all the building works are taking place and although some areas are disrupted many areas are still suitable to sit in and there are no unpleasant odours detected. The laundry is in a downstairs area that will eventually be the laundry but is not fully established as yet. The home is coping with the washing while the building is disrupted and all residents clothes appeared clean and laundered appropriately. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited appropriately, trained and employed in sufficient numbers to ensure residents are cared for by suitable, competent staff. EVIDENCE: On the day of the visit there were three care staff, one senior, one manager one domestic and one cook. No one appeared rushed and residents were contented stating that staff assist them with their care needs when they require them. One resident said “some staff are better than others but on the whole they are all good”. Another said “I have nothing to complain about. I am cared for well and if I wasn’t I would soon tell them”. With 20 residents at present the number of staff on duty appears suitable. Once the other beds are registered additional staff will be required. The Manager has a list of staff on the wall in the office dated for next month for 6 staff to meet with the NVQ assessor. (5 staff to do the NVQ 2 and 1 to do the NVQ 3). This will increase greatly the number of staff who hold this qualification. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 18 The Home have a personnel file for all staff that now contain an individual CRB certificate. The application forms have a tick box that asks for a POVA check. This box is ticked by the Owner on applying but there is no reference in the Home to say this has been carried out. (Most Owners/Managers have an email to say if the applicant is on the POVA first list or not and keep it in the individuals personnel file). This means staff can commence their employment under supervision while awaiting the CRB return. No evidence was found of recently employed staff that this register had been checked. (Recommended). The Manager has received a huge package of training from a recognised source that take staff through their training from induction to all the statutory health and safety training. The staff are all to work through the induction pack even if they have been in the Home for a long time and then staff can support each other in the development of the staff team. (These packs were seen ready to be issued to the staff). Also on the wall in the office is a training matrix which show which staff will start what training and when. This is a much improved method of monitoring the training within the Home than was found at the last inspection. On talking to a staff member the training has been discussed with them and they are all keen to get started with the new training packs. Driftwood House DS0000027358.V341649.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 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Home has begun to show improvements in the management systems, which should improve the outcomes for the Home once they are actively being used. EVIDENCE: The Manager of the Home is still waiting for her certificate to show she has achieved her management qualification award. Her position in the Home has now changed which means she is now off the staffing rota and can concentrate on the Manager tasks. The role of the Manager is now beginning to show Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 20 through and the systems are slowly being placed in a more orderly manner. There is still the need to register this person with the Commission. (Recommendation). Besides a new system for training staff, the Home has purchased, from the same company, a quality assurance system for the monitoring of the quality. This is about to replace the older version and will become a more comprehensive way of monitoring the quality by using everyone involved within the Home as well as those who work or live there. Some questionnaires have been printed off and will be distributed shortly. The Management try not to be responsible for residents money, encouraging families to be involved where at all possible. For those who do not have families or do not wish families to manage their money some small amounts of cash is kept in the Home safe. Although each resident has a finance sheet which shows money paid in or out with receipts of purchases to show spending the transactions are not signed and although only two people hold the safe key all transactions should hold a signature by the staff member to complete the audit trail. The Money is also all placed in one container in the safe and not held separately so that individual accounts can be checked as correct. The balance sheet for one resident was looked at and the figures balanced but there was no way of checking the actual cash. (Requirement). Appraisal dates are all booked with dates and names of staff on a laminated sheet on the office wall. The supervision of staff will begin on a 2 monthly basis after the dates of the appraisals. (Staff spoken to are aware of the dates planned). The Manager and Owner are working towards ensuring the staff and residents health, safety and welfare is promoted and protected. The new training programmes are about to be up and running. The Home is to have a Senior staff member to become the Moving and Handling advisor for the Home and update her knowledge and then cascade the training to new and existing staff members. Servicing records were seen that included call bell system, emergency lighting, boilers and fire records. Accidents are recorded correctly but to date incidents, accidents, deaths or outbreak of illnesses that are reportable to the Commission have not been received. The Inspector has now given the Manager a format the Home can use for reporting and who should be completing the form and sending it to the Inspector on each occasion from now on. (This was discussed and became a requirement on the last inspection but as the last inspection was only two months ago no reporting had been needed to date). Driftwood House DS0000027358.V341649.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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 2 2 x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 2 3 2 3 Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13.2 Requirement The Home must ensure that there are no gaps on the MAR charts when medication has been administered or refused. The Home should have an audit trail in place to count all medication in and out of the Home to ensure no errors are occurring. (Especially with loose medication). Action taken when any discrepancies have been found must be recorded. The Home must not use resident’s private rooms for general use. Timescale for action 01/06/07 2 OP9 13.2 01/07/07 3 OP20 23.2(e) 01/07/07 4 OP35 17.3(b) The Manager must ensure that 01/07/07 any resident’s finances held within the Home’s safe is held separately and that all records, of any transactions are signed by two responsible people. Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 23 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 OP12 Good Practice Recommendations It is recommended that all interests and life stories are gathered from residents and families to encourage and maintain lifestyles that are personal and individual. It is recommended that some formal training on supervision is undertaken by senior staff as recommended previously to enable the full value of supervision sessions to be established within the Home. It is recommended that menu’s be available on the tables at meal times to remind residents of the choice offered. It is recommended that the POVA first check is recorded within the home while waiting for the CRB to be returned allowing staff, under supervision to be employed. It is recommended that the Manager is registered with the Commission as soon as possible. 2. OP36 3 4 OP15 OP29 5 OP31 Driftwood House DS0000027358.V341649.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Driftwood House DS0000027358.V341649.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!