Inspection on 20/02/06 for Field House, Minehead

This inspection was carried out on 20th February 2006.

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

Field House, Minehead 17/06/08

Field House, Minehead 30/06/06

Field House, Minehead 18/08/05

Field House, Minehead 08/03/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Field House The Parks Minehead Somerset TA24 8BU Lead Inspector Kathy McCluskey Announced Inspection 20th February 2006 09:30 Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 Field House DS0000060745.V275090.R01.S.doc Version 5.1 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. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Field House Address The Parks Minehead Somerset TA24 8BU 01643 708751 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) Miss Dawn Paxton Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Field House is a large detached house situated in the Seaside town of Minehead in Somerset. The home is situated in a quiet residential area, which is only a few minutes walk from the town centre and benefits from beautiful views over the surrounding countryside. Field House is registered with the Commission for Social Care Inspection to provide personal care for up to 5 service users between the ages of 18 and 65years, who have a learning disability. The home is not registered to provide nursing care. All service users are accommodated in single bedrooms which are situated on the first and second floor. The home has large landscaped sloping gardens and access to the home is via a number of steps. Field House would therefore not be suitable for service users with mobility difficulties. The registered provider/manager is Dawn Paxton. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted over one day by CSCI Regulation Inspector Kathy McCluskey. The registered provider/manager Dawn Paxton was present throughout the inspection. At the time of this inspection 4 service users were living at the home of which one was on a short break and one was at college. The inspector carried out a brief tour of the premises and examined records pertaining to staff, service users and health and safety. No CSCI comment cards were received from service users. One CSCI comment card was received from a G.P and responses were positive. This was a very positive inspection. No requirements or recommendations were raised. The inspector would like to thank the service users, staff and the management team for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Field House provides a comfortable and very homely environment for service users with a learning disability. All service users have their own bedroom, which they are able to personalise. The home has a good range of comfortable and well equipped communal areas and a beautiful garden. Service users living at the home are able to enjoy a ‘family’ type environment. All areas of the home are decorated and furnished to a very high standard. Service users benefit from an ethos which is both open and inclusive. Service users are encouraged and supported to be fully involved in all aspects of life at the home. This was very evident at the time of the inspection. The home’s care planning system is clear and consistent and service users are supported to take informed risks as part of their agreed plan of care. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 6 During the inspection, interactions with service users were observed to be very relaxed, kind and respectful. Service users are supported and encouraged to pursue their own hobbies/interests and to be involved in many activities in the local community. Since the last inspection, all service users have enjoyed a holiday in Brixham. 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. Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 The home ensures that prospective service users have the information they need to enable them to make an informed choice about moving to the home. The home takes appropriate steps to ensure that the assessed needs of service users can be met. EVIDENCE: The home has produced a Statement of Purpose and Service user guide. These provide clear information on the facilities and services offered by the home and are made available to service users, prospective service users and/or their representatives. The inspector was not advised of any changes to these documents. The home’s scales of charges are between £1172 & £1300 per week. This is a guide and fees are determined upon the assessed needs of an individual. Extra charges are met by the service user for personal items/toiletries and chiropody treatment. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 9 The home provides transport for organised trips and activities at no extra charge to the service user. Service users retain any DLA money awarded to them. Prospective service users are fully assessed by the registered provider/manager prior to a decision being made. Copies of assessments prepared by other relevant professionals are obtained where available. This ensures that the home can fully meet the assessed needs of a prospective service user. Pre-admission assessments are also used when developing the individual’s care plan. Evidence of this was seen in the care plan examined for the most recent service user. Where appropriate, prospective service users are invited to visit the home prior to making a decision to move there. The inspector was informed that the most recent service user made several visits to the home and had an overnight stay to ensure that all were satisfied that the home could meet the individual’s assessed needs and that the service user was happy to move in. The views and needs of existing service users are taken into consideration. The first 12 weeks of admission are considered a trial period to ensure that all parties are happy that the individual’s assessed needs can be met by the home. Emergency admissions are avoided. Each service user is issued with an agreed contract. The home’s contract clearly sets out the terms and conditions of residence and fees to be charged. Social Services financial agreements are in place where appropriate. Evidence was seen in the care plan examined. Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 The home’s care planning process is comprehensive, clear and consistent. The home ensures that service users are encouraged to take informed risks as part of their agreed plan of care. Service users are supported to participate in all aspects of life at the home. EVIDENCE: Since the last inspection, one new service user has moved to the home. The inspector was able to examine the care records for this individual. Care records contained detailed and appropriate information on the service user’s assessed needs and how these were best met. The inspector was able to see evidence that assessments from other relevant professionals had been taken into account. A good social history was in place and a record of the service user’s preferences had been identified. Comprehensive risk assessments were in place which covered appropriate factors. Service users are supported to take informed risks within their agreed plan of care. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 11 Records of G.P visits were maintained. The home also maintains detailed daily records. The home’s care planning process is clear and consistent. The home ensures that service users are encouraged to be involved in the day to day running of the home. This was evident at the time of the inspection. Given the number of service users living at Field House, formal meetings are not felt to be appropriate. The inspector was informed that the views and preferences of service users are sought on a daily basis. This was observed at the time of the inspection. Service users seen, appeared very relaxed comfortable in the presence of the provider/manager and her partner. Service users get together on a weekly basis to decide their menu for the following week. Many enjoy shopping for the food in the town. All service users have their own personal bank accounts. The provider/manager offers support to service users in managing small amounts of ‘pocket monies’ where appropriate or requested. Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 16 and 17 Service users have access to a wide range of appropriate activities and are supported to establish links with the local community. Service users benefit from a wholesome and varied menu which they are involved in planning. EVIDENCE: Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 13 Service users are supported and encouraged to pursue their own interests and hobbies. One service user enjoys gardening and has done a wonderful job of maintaining the garden and growing vegetables. Fishing trips are also a great favourite! Since the last inspection, all service users have enjoyed a holiday in Brixham. Service users choose what time they get up and go to bed and the preferences of the service users are clearly recorded in the individual’s plan of care. Service users have a key to their bedroom and are made aware that the home maintains a spare key, which would only be used in the case of an emergency. The home supports service users to maintain or develop independent living skills. It was evident to the inspector that the provider/manager also takes appropriate steps to ensure that service users have the emotional support they need. Each service user has a programme of activities. Two were examined at this inspection and these included activities such as college, horse riding, shopping, walks, drama and gym. As previously mentioned, service users are also supported to pursue hobbies and interests. This was evident at the time of the inspection. As part of the agreed plan of care, service users are supported to prepare their meals where appropriate and service users are involved in shopping for food. Service users have access to drinks and snacks as they require. Fresh fruit is also available. The home has a spacious and well equipped kitchen which is accessible to service users. One service user spoken with was very positive about the meals offered. Field House DS0000060745.V275090.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users are appropriately supported to meet their personal care and health needs. The home’s procedures for the management and administration of service users medication are good. EVIDENCE: Care plans examined detailed clear information regarding how personal care needs should be met. This also took into account the preferences of the individual. Health care contacts and information relating to health care needs and visits were seen to be detailed and informative. Given the assessed needs of service users living at the home, prescribed medication is currently managed and administered by staff. The home uses the monitored dosage system (MDS) with pre-printed Medication Administration Records (MAR). Medicines were seen to be securely stored with MAR charts appropriately completed. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): A complaints procedure is in place and the views of service users are encouraged and listened to. The home takes appropriate steps to reduce the risk of harm or abuse to service users. EVIDENCE: The home has produced a complaints procedure, which is also available in the Statement of Purpose and Service User Guide. No complaints have been received by the home and no concerns have been raised directly with the CSCI. At the time of this inspection, no concerns were raised by service users. The inspector was informed that the views of service users are encouraged on a daily basis. The home takes appropriate steps to reduce the risk of harm or abuse to service users. The home has produced policies relating to adult protection and the prevention of abuse, Whistle Blowing, bullying and aggression. The home also has a copy of Somerset’s Policy on Safeguarding Vulnerable Adults. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Service users benefit from a very homely ‘family’ type environment, which is decorated and furnished to a high standard. Service users can choose from a good range of communal areas or can enjoy the privacy of their own bedroom. The standard of cleanliness is high and the home takes appropriate steps to reduce the risk of the spread of infection. EVIDENCE: Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 17 Field House is a large three storey detached house situated in a quiet residential area, which is not far from the centre of Minehead. The home is in an elevated position and enjoys far reaching views to the surrounding countryside. All areas of the home have been decorated and furnished to a very high standard and the home promotes a ‘homely’ feel. Communal areas are located on the ground floor, with bedrooms and bathrooms located on the first and second floor, which are accessed by stairs. There is a toilet on the ground floor. The home has large landscaped gardens to the front and rear. As the gardens are sloping, they would not be accessible to those with mobility difficulties. The home is fitted with appropriate fire detection systems and fire fighting equipment. A call bell system has been installed throughout the home. All up stairs windows have been restricted to ensure the safety of service users. All service users are accommodated in single bedrooms, which are fitted with the provision of a wash hand basin. One bedroom is fitted with en-suite shower facilities. Service users are encouraged to personalise their rooms. Privacy is respected and service users have a key to their rooms. Three bedrooms are situated on the first floor and two on the second floor. Stairs give access to first and second floor accommodation. Service users have access to spacious and comfortable communal areas, which are situated on the ground floor. The home has two very large lounge areas, which are decorated and furnished to a very high standard. A dining area is available in one of the lounges. One lounge has a television and the other can be utilised for those wishing to enjoy some quiet time. This lounge also has the provision of a payphone. On the day of this inspection, the cleanliness of the home was of a very high standard. Cleaning is carried out by the provider/manager. Service users are supported to clean their own bedrooms as appropriate. Liquid soap and paper hand towels were seen to be appropriately sited throughout the home. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 18 The inspector was previously informed that, with the approval of the local fire officer, laundry facilities are located in a locked area under the stairs. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 36 Service users needs are appropriately met by the number and skills of staff on duty. Service users benefit from a small and stable staff team. EVIDENCE: As detailed in the last inspection, the home employs one member of staff. There have been no changes in staffing since the last inspection. The recruitment file of the staff member was examined at the last inspection and there was evidence that appropriate recruitment procedures were followed. The provider and her partner continue to provide 24 hour cover as they live at the home. The inspector was informed that since the last inspection, the staff member has been registered for the NVQ level 3 award in care. The provider/manager informed the inspector that she has now commenced staff supervision sessions. Records were not examined at this inspection and will be followed up at the next inspection. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40, 41, 42 and 43 Service users benefit from an open and inclusive style of management where their views are encouraged. The home takes appropriate steps to ensure the health and safety of service users, staff and visitors. EVIDENCE: The registered provider/manager is Dawn Paxton. Dawn has worked with service users with a learning disability since 1994. Dawn has previously been registered with the NCSC in Surrey as a manager of a care home for younger adults with a learning disability. Dawn has a City & Guilds certificate in ‘Advanced management for care’ and certificates in ‘epilepsy and the administration of rectal diazepam’ and ‘Nonphysical & physical intervention’. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 21 At the time of this inspection, 4 service users were living at the home and 1 staff member is employed. It was very apparent to the inspector that the provider/manager promotes an ethos which is open an inclusive. Service users benefit from a ‘family’ type atmosphere where they are included in all aspects of life at the home. The views of service users are encouraged at all times. This was observed during the inspection. Given the size of the home, formal meetings are not felt to be appropriate. The provider/manager stated that any concerns or issues raised by service users would be appropriately documented and actioned. Views are encouraged on a daily basis in a relaxed and informal manner. Interactions observed during the inspection were relaxed and respectful. The provider/manager takes appropriate steps to ensure that the rights and wishes of service users are respected. The home has a comprehensive range of policies and procedures, which are discussed with staff. All records seen at this inspection were up to date, very well maintained and stored in accordance with the Data Protection Act 1998. Records relating to the health and safety of service users and staff were examined at this inspection and the findings were as follows: First Aid – The provider/manager is still in the process of arranging first aid training. This will be followed up at the next inspection. Portable Appliance Testing (PAT) – Records indicated that portable appliance testing was up to date. The last test was carried out on 20/05/05. Detailed records are maintained which included appliances for the most recent service user. Hot Water Outlets/surfaces – Records are maintained for hot water outlets to ensure that they do not exceed HSE recommended limits. These are checked weekly. Records indicated that hot water temperatures did not exceed HSE upper limits. FIRE – The home records weekly checks for fire detection systems, emergency lighting and extinguishers. The home’s fire detection systems and fire fighting equipment is serviced by an external contractor on an annual basis. This was last recorded as 15/04/05. Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 22 Electrical Hard Wiring – The inspector was able to see an appropriate certificate dated 10/05/04 which is valid for 5 years. Gas Servicing – An up to date Landlords Gas Safety Certificate was seen dated 16/04/05. Environmental Risks – The home has detailed policies and procedures relating to health and safety and environmental risk assessments have been completed as appropriate. Upstairs windows have been fitted with restrictors to ensure the safety of service users. Wardrobes have been secured to the wall. Radiators were noted to be a low surface heat type. The provider/manager was advised to complete individual risk assessments for any free standing radiators if used. Accidents – The inspector was informed that there have been no accidents since the last inspection. The home displays appropriate and up to date employers liability insurance which expires on 01/08/06 Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 23 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 3 2 3 3 3 4 3 5 3 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 4 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 x 3 3 3 3 Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 24 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. Refer to Standard Good Practice Recommendations Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 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 Field House DS0000060745.V275090.R01.S.doc Version 5.1 Page 26 - 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!