Inspection on 05/09/06 for Geraint House

This inspection was carried out on 5th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Geraint House 02/10/07

Geraint House 07/12/05

Geraint House 18/08/05

Geraint House 17/01/05

Geraint House 03/06/04

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

CARE HOME ADULTS 18-65 Geraint House 28 Uppingham Road Leicester Leicestershire LE5 0QD Lead Inspector Kim Cowley Unannounced Inspection 5th September 2006 10:00 Geraint House DS0000006421.V309513.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 Geraint House DS0000006421.V309513.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. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Geraint House Address 28 Uppingham Road Leicester Leicestershire LE5 0QD 0116 276 5971 0116 276 5971 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) Mr Davies Mrs D Davies Mr D H Davies Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 07/12/05 Brief Description of the Service: Geraint House offers residential care to ten younger adults with mental health needs. The home is situated on the Uppingham Road, close to shops, places of worship, and public transport. There are parks within a short walking distances and a sports centre and swimming pool. The premises are large and detached and there is a stair lift for ease of access to the first floor. There is a large garden at the rear of the home with a terrace and vegetable garden. At the front of the home is a small car park. All bedrooms are single and there are three downstairs lounges, two of which are non-smoking, and a dining room. Fees are £285.00 per week. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted five hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. Six residents and the Owner/Manager were interviewed. Commendations were made in the majority of areas inspected (see main body of report). What the service does well: Geraint House is a well run home which provides excellent care for people with mental health needs. There is a real sense of community in this home. Residents look out for each other and are sensitive to each other’s needs. A dedicated and caring staff team encourage residents to live as independently as possible and to determine their own lifestyles. All residents interviewed made many positive comments about the home including, ‘What’s good about this place is everything!’, ‘This is one of the best homes in Leicester.’, and ‘I can’t say enough about how good this place is.’ Residents take part in a range of activities including attendance at day centres and colleges, trips out, and recreational activities. The Owner/Manager said, ‘Our philosophy is that residents do things during the week, and have weekends off. We encourage them to follow any interests they might have or to try new things.’ On the day of inspection a meal out had had been booked and residents were looking forward to that. Every Monday a coffee morning is held in one of the lounges with ground coffee and biscuits. This is a social event and gives residents and staff the opportunity to get together and chat. Residents’ comments included, ‘It’s a big thing here to be independent – the staff encourage us. They won’t take our independence away’, and ‘We are encouraged to get out and about.’ The staff team is established and turnover is low. The Owner/Manager said he doesn’t use bank or agency staff. He said ‘Residents don’t want strangers coming into their home. It’s important they know the staff well and trust them.’ Residents were unanimous in their praise of the staff team and the following comments were made, ‘The people who work here care’, ‘The staff Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 6 treat us very well and are respectful’, and ‘The staff stay a long time so we get to know them.’ The Owner/Manager has run the home successfully for 18 years and is well respected and liked by the residents. He is up to date with best practice in mental health care and implements this in the home. One resident said, ‘David knows us all very well and really cares about us.’ The Owner/Manager ensures residents are involved in decisions about how the home is run and has put effective systems in place to protect the health, safety and welfare of those who live and work there. 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. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: All residents come to the home with a comprehensive assessment carried out by social workers with input from other health and social care professionals. The Owner/Manager uses this as a basis for his own assessment. The aim of the assessment process is to ensure that the home is suitable for the resident in question, and to identify their needs and how best they can be met. During case tracking it was observed that one resident had made a series of half-day visits to the home prior to admission, and then a series of overnight stays. During this time this resident’s assessment was modified as their needs became clearer. In discussions the Owner/Manager explained how the potential resident is involved in the assessment process. He said, ‘We explain every stage of the process to them and encourage them to ask questions and give their views. We recognise they may find some of the questions intrusive so it is important that they understand why they are being asked.’ The assessment process is commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 9 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, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents care needs are met. EVIDENCE: Care plans were comprehensive and records showed they are subject to ongoing evaluation and review. Person centred planning is gradually being introduced and care plans reflect this. Residents are involved in all aspects of their care plans and are asked to approve them. Those care plans inspected were of a high standard and incorporated many aspects of current best practice, both holistic and needs-led. Care plans are commended. Residents are involved in the day to day running of the home and encouraged to determine their own lifestyles. They are consulted on a daily basis about menus, activities, and getting up/going to bed times. Decisions affecting the whole resident group are made at monthly residents’ meetings. At a recent meeting residents decided which of their three lounges to designate as a smoking area. Resident involvement in the running of the home is commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 10 Appropriate risk assessments are in place for all residents. In discussion the Owner/Manager gave examples of how residents have been supported to take a series of small risks while they built up the confidence to take a larger risk, for example going out unaccompanied. Records showed residents progressing in this way and increasing their independence. This is commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 11 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): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents are encouraged to lead full and active lives. EVIDENCE: A Person Centred Planning approach has been used to review each resident’s programme of activities. Residents have been interviewed about their past hobbies and interests to see if there are any activities they would like to take part in. As a result activities including keep fit, football, karaoke, and classical concerts have been arranged. This is commended. Residents take part in a range of activities including attendance at day centres and colleges, trips out, and recreational activities. On the day of inspection a meal out had had been booked and residents were looking forward to that. Every Monday a coffee morning is held in one of the lounges with ground coffee and biscuits. This is a social event and gives residents and staff the opportunity to get together and chat. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 12 The Owner/Manager said, ‘Our philosophy is that residents do things during the week, and have weekends off. We encourage them to follow any interests they might have or to try new things.’ Residents’ comments included: ‘It’s a big thing here to be independent – the staff encourage us. They won’t take our independence away.’ ‘We are encouraged to get out and about.’ ‘I go to college once a week.’ ‘We’re booked to go to a Chinese restaurant soon. A group of us are going with two members of staff.’ Since the last inspection residents and staff have created a vegetable garden. This has been a success and sweet corn, cabbage, green beans, and onions have been grown, harvested, and eaten. One resident said, ‘I helped to plant the vegetables in the garden. Then we put glass over some of them. We’ve eaten what we’ve grown and it tasted lovely.’ Residents are encouraged to maintain links with family/friends where possible. Visitors are welcome at the home at any reasonable time and can join residents for a meal if they wish. As there are single bedrooms, three lounges, a dining room, and a large garden, there are plenty of places for residents to entertain visitors. Policies on ‘Respect and Individuality’ and ‘Privacy and Confidentiality’ are in place for staff to follow. Minutes from a residents’ meeting showed residents were asked if they minded staff entering their rooms each morning to tidy and clean without asking their permission first. Care staff are responsible for the cooking, helped by residents where possible. The emphasis is on healthy eating and menus showed a wholesome diet being provided with plenty of fresh fruit and vegetables. Residents help to plan the menus and there are choices at each mealtime. All resident interviewed praised the food and the following comments were made, ‘You couldn’t better the food – it’s perfect’, ‘The food is healthy which is what I like’, and ‘We have Indian or Chinese or Italian days. I love that – I like trying different things.’ All areas inspected under ‘Lifestyle’ are commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 13 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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care needs of residents are met. EVIDENCE: The Owner/Manager said that all residents are mostly self-caring, although some need prompting or minimal assistance. Staff talk to residents about what help they need and this is recorded in their care plans. All residents are registered with local GPs and have consultant psychiatrists, some also have CPNs and/or care managers. Local dentists and opticians either visit the home or see residents in the community. Residents with physical health problems receive specialist support from an occupational therapist and adaptations have been made to the home where necessary. All resident have an annual health ‘well person’ audit at a local health centre. This is commended. The Deputy Manager oversees medication. Staff are trained in medication administration in-house, and the home’s contract pharmacist provides further accredited training where necessary. One resident self-medicates supported by Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 14 staff. Residents’ medication in reviewed regularly and records showed that GPs are contacted promptly should any problems with medication arise. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 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): 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: A complaints procedure is displayed in the home and all residents and their representatives have their own copy of this. The Owner/Manager said he tries to create a culture in the home where residents have the confidence to speak out about anything that concerns them. This is commended. Records showed that six informal complaints from residents have been received since the last inspection. These all concerned relatively minor issues (for example, laundry not being returned on time). However each one was recorded, as was the action taken to resolve the issue. The Owner/Manager said residents can use the home’s complaints procedure if they wish or raise their concerns individually with any member of staff, or during group meetings. In addition a coffee morning is held every Monday. The Owner/Manager said this is predominately a social event, but it also gives resident the opportunity to discuss any concerns they might have with staff and other residents. One resident said, ‘If there was something wrong I‘d tell David or another member of staff.’ Another commented, ‘I complained to David about something last week and he sorted it out straight away.’ Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 16 Training in adult protection is provided to all staff as part of their induction. Appropriate policies and procedures are in place to assist staff in protecting residents from abuse, neglect and self-harm. The Owner/Manager is knowledgeable about adult protection and the necessity of a multi-agency approach should an incident occur. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is comfortable and well maintained. EVIDENCE: The home is spacious with a good range of communal areas including three lounges (TV, quiet, and smoking), and a dining room. One resident showed the inspector his bedroom, which he has made into a ‘bed-sitter’ with tea and coffee making facilities, and a TV, music centre, and easy chair. The dining room was set out for lunch with serviettes, jugs of juice, and table decorations. There is a large garden at the rear of the home which residents help to maintain. All areas inspected were well maintained, clean and comfortable. Ongoing refurbishment has taken place and since the last inspection improvements have been made to the kitchen (a new cooker and cupboards) and one of the lounges (new seat covers). A part time cleaner is employed. Residents are encouraged to keep their own bedrooms tidy. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 18 All residents said they like the premises. One said, ‘I’ve got a very nice room and it’s very big’, and another commented, ‘We have a lovely big telly, big rooms, and the house is comfortable and carpeted. The heating is good too.’ Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 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, 34, 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets residents’ needs. EVIDENCE: The staff team is established and turnover is low. The Owner/Manager said he doesn’t use bank or agency staff. He said ‘Residents don’t want strangers coming into their home. It’s important they know the staff well and trust them.’ Residents were unanimous in their praise of the staff team and the following comments were made: ‘The people who work here care.’ ‘The staff treat us very well and are respectful.’ ‘We have a laugh with the staff.’ ‘I get on well with all the staff.’ ‘The staff stay a long time so we get to know them.’ The staff team are commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 20 Residents are involved in staff recruitment. Potential members of staff are interviewed by the Owner/Manager and then taken to meet a group of the residents. The residents are then asked for their views on the suitability of the candidate. One resident said, ‘We help to choose new members of staff. I always take part in that, I think it’s important we have the right sort of people working here.’ This is commended. All new staff complete a six-week induction programme, which covers a number of key areas including health and safety, medication, and residents rights. Staff then have to opportunity to take NVQs. Two staff are currently training as nurses. The Owner/Manager encourages staff to keep up to date with new developments in mental health care and to attend relevant training events. Training is planned around the home’s business plan, service aims, resident’s needs and individual care plans. This is commended. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 21 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, 39, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Owner/Manager has run the home successfully for 18 years and is well respected and liked by the residents. He is up to date with best practice in mental health care and implements this in the home. Residents’ comments about the Owner/Manager included: ‘David’s a really nice man. I don’t call him boss, I call him mate.’ ‘David is a fair man and the rules here are reasonable.’ ‘The staff all say what a good boss David is.’ ‘David knows us all very well and really cares about us.’ Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 22 Residents are consulted on all aspects of the running of the home both individually and at group meetings. All residents interviewed said their views are listened to and acted upon. Good policies and procedures are in place to promote the health, safety and welfare of residents and staff. These are shared with both residents and staff and are regularly discussed, reviewed and updated. Records showed that health and safety equipment in the home is maintained in line with the appropriate legislation. A Fire Risk Assessment is in place and this has been seen and approved by the Fire Department. Residents and staff take part in regular fire drills and fire safety is discussed at resident/staff meetings to help to ensure that everyone knows what to do should an incident occur. The Owner/Manager is commended for the way the home is run, for involving residents in decisions about how it is run, and for putting effective systems in place to protect the health, safety and welfare of those who live and work there. Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 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 X 2 4 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 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 4 X X 4 X Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 24 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 Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Geraint House DS0000006421.V309513.R01.S.doc Version 5.2 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!