Inspection on 28/09/05 for Greene House

This inspection was carried out on 28th September 2005.

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

Greene House 09/10/08

Greene House 16/10/06

Greene House 31/01/06

Greene House 02/03/05

Greene House 24/09/04

Greene House 25/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Greene House The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ Lead Inspector Joan Browne Unannounced Inspection 28th September 2005 09:30 Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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 Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Greene House Address 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) The National Society For Epilepsy Chesham Lane Chalfont St Peter Gerrards Cross Bucks SL9 ORJ 01494 601462 01494 601300 The National Society for Epilepsy Care Home 18 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2005 Brief Description of the Service: Greene House is a care home that is registered to provide care, support and accommodation for up to seventeen residents with learning and physical disabilities. The home is situated on the National Society for Epilepsy’s campus in Chalfont St. Peter and constitutes a detached building that offers single room accommodation to residents. One bedroom has an en suite facility, and wash had basins are fitted in the other bedrooms. There is ample communal space as the home is divided into five groups and externally there is an enclosed communal garden as well as the grounds that encircle the campus. Residents are able to access the nearby towns of Amersham, Slough and High Wycombe by public transport. The village of Chalfont St. Peter has some amenities and there is a shop and a restaurant on campus. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 28th September 2005 from 09. 45 am to 15.45 pm. The inspection consisted of meeting with residents and staff, examination of care documentation and records. A tour of the communal areas and some bedrooms was carried out. The requirements and recommendations from the last inspection were discussed. Residents spoken to were complimentary about the provision of care and confirmed that they are consulted about matters relating to the operation of the home. Feedback was given to the manager and deputy manager on the findings of the inspection. What the service does well: The manager was able to describe a number of areas in which he feels the home does well these include the following: Supporting residents with epilepsy and having good monitoring systems in place. Having systems in place to ensure that residents’ health care needs are catered for. Residents and staff have developed good relationships. The staff team recognise the needs of residents and promote independence. The staff team has been innovative and a strength to residents. Staff escort residents on holiday and work more and above their hours. There is a good handover system in place. Residents were confident of their position within the home. Visiting is flexible and residents can invite friends into the home. Interaction observed between residents and staff was positive with humour and lots of smiles from residents. The home has a relaxed, and calm atmosphere. Residents and staff did not appear phased by the inspection. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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 Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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): EVIDENCE: Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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&9 The care plan system in place needs to be clear and consistent to ensure that that staff meet residents’ assessed needs satisfactorily. Risk management strategies are in place, this ensures that residents are encouraged to take risks and to be independent. EVIDENCE: The care plan for a particular resident who has been presenting challenging behaviour was examined. A Risk assessment and action plan was in place. However, the documents were not dated and there was no evidence to indicate that they were being kept under review. It was recorded in the individual’s plan that every Monday staff should inform the resident in writing that her room would be checked for out of date food and excess newspapers. This procedure is no longer taking place. The care plan had not been amended to reflect the current care. Information recorded in the individual’s care plan stated the following: ‘Every week on Monday 2 members of staff will check the 4 bedded unit fridge for out of date food. X’s room for out of date food and excess newspapers.’ Entries Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 10 recorded in the individual’s daily log indicated that there were inconsistencies by staff to follow the plan that was in place. Staff had not undertaken this task for the past three weeks and there was no written explanation why the task had not been carried out. It is required that the manager must monitor the care plans and daily record sheets for residents on a regular basis to ensure that care needs identified were being met and followed. Daily report writing focussed on personal care, eating and drinking and did not report on progress that was being made on individual’s identified needs. The risk assessments relating to three residents who went away on holiday were examined. The assessments were detailed and addressed residents’ vulnerabilities. It was noted that a particular resident purchased her own cleaning solution. A bottle of bleach was observed on the windowsill in a shared shower and toilet area. The manager is advised to develop a risk assessment for this perceived risk. The home has a missing person’s procedure, which all staff are of. Staff are expected to keep a daily record of what residents are wearing. In the event of them not returning home within a reasonable time an accurate description of what they are wearing can be provided if they are reported missing. It was noted that the manager had developed a daily movement chart for each resident to ensure that all staff are aware of residents’ movement and daily activities. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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 ,15 & 17 Residents are able to access activities, which meet their social and leisure needs. The home promotes flexible visiting, which enables residents to maintain contact with family and friends. Residents are supported by staff to participate in cooking tasks, which promotes choice and independent living skills. EVIDENCE: Residents are supported by staff to attend work placements and college. Several residents work on site in the centre in addition to attending college and undertaking training in cookery, computing and life skills. Residents spoken to enjoyed going to work and were pleased to have the responsibilities that came with being employed. Residents are encouraged to maintain links with their family. One resident is able to visit his mother every weekend. Residents are able to meet with their visitors within the privacy of their individual bedrooms or the communal areas. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 12 Residents are encouraged to prepare their own breakfast and midday snack. All residents choose to have the main meal in the evening, which is prepared in the main kitchen. However, twice a week residents make alternative arrangements and choose to prepare the evening meal in- house with support from staff or order a take away. The plan is for the home to be fully selfcatering, encouraging residents to prepare meals with support from staff, and to shop on line for groceries. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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 Arrangements are in place to ensure that residents are supported with their personal care by staff who respect their privacy and dignity. Health care support for residents is good which means that their health and well-being is promoted and protected. Medication procedures within the home need to be more robust, this would ensure that residents’ health is not put at risk EVIDENCE: Staff encourage residents to undertake all aspects of daily living independently. Residents choose what time they wish to rise and retire. Staff support three residents to prepare their own meals daily. Residents attend college, work placements and undertake cleaning and laundry tasks. Some residents are able to travel, unescorted by public transport to local towns. Bedrooms are not shared, this ensures that privacy and dignity is promoted. Residents are offered a key to the front door of the home and lockable facilities are provided to store medication, valuables and money. Residents are registered with a general practitioner (GP) who visits the site several times a week. They have access to a dentist, optician and chiropodist Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 14 who visit the site on a regular basis. There is a hairdresser facility on site however, some residents choose to use a hairdresser in the community. Residents are able to access National Health Service treatment via the GP when necessary. The community continence adviser provides some residents with aids and equipment to assist with their incontinence. The specialist epileptic nurse along with the consultant visit the home three monthly to monitor residents’ seizures. It was noted that several residents were self-administering their medication. A medication policy was in place to support this. Residents undergo a nine-step assessment process. It was noted in a particular resident’s medication assessment that she was down graded from a stage 6 to a 4. There was no written information recorded in the plan why this decision had been made. The deputy manager explained that the decision had been made after the resident had forgotten to take her medication. The resident also had a blood test taken, which indicated raised blood levels. There was no date recorded on the risk assessment to indicate when it was last reviewed. Medication is stored in a trolley that is kept in a secure area within the home. It was noted that a bottle containing liquid medication was sticky. Staff should ensure that bottles are wiped after use. Medication administration record sheets (MARS) were examined. No gaps were noted. Stock diazepam tablets were checked and it was noted that the writing on some labels was fading. It is recommended that the manager should ensure that labels are replaced. A protocol should be developed for the administration of Fosamax medication. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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 The system in place to enable residents to make their opinions of the service at the home known needs to improve further, this would ensure that residents’ views are listened to and actioned. Staff have undertaken training in adult protection and abuse awareness. With clear guidelines and training this should ensure that residents are protected from any potential abuse. EVIDENCE: The home has a complaints policy and procedure in place to guide residents and relatives on how to make complaints and comments. The home has not received any complaints since the last inspection. It was noted that complaints and compliments are recorded in the same folder. It is required that the manager develops the complaints folder further and a record is kept of all concerns raised with clear action of outcomes. It is further recommended that details of all verbal concerns be recorded. The home has a protection of vulnerable adult policy in place which staff are made aware of at induction and ongoing. Staff were able to describe the different types of abuse and how they would action any alleged, potential or actual abuse. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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, 26 & 30 There has been no change to the décor or furnishings in the home for some considerable time, this does not create a pleasing and pleasant environment for residents to live in. EVIDENCE: Greene House is a two-storey building, centrally situated on the National Society for Epilepsy’ campus in Chalfont St Peter. The home is registered to accommodate and care for up to eighteen residents. Since the last inspection one bedroom has been utilised as an office area. The home is divided into five groups promoting group living. The groups provide flexible accommodation for various numbers of residents. There are single bedrooms, lounge diners and showering and toilet facilities. During a tour of the building the following areas were identified as needing attention: • • • Ceiling lights and light fittings in all areas of the building needed to be clean. The build up of dust on skirting boards in corridors and staircase need to be cleaned. Wall tiles in shower and toilet facilities need to be re-grouted. DS0000022973.V254981.R01.S.doc Version 5.0 Page 17 Greene House • • • The broken door on the wall unit in the main lounge needs to be replaced. The area where the general waste bin is situated needs to be cleaned. The window covered with bird excrement must be cleaned. The manager is required to forward to the Commission an action plan detailing when the decoration of corridors, the refurbishment of toilets and shower facilities and the replacement of arm chairs in the main lounge will commence. Some residents’ bedrooms were viewed. Bedrooms were personalised with posters, family pictures and mementoes, which reflected the individual characters of residents. Residents are supported by staff to maintain their bedrooms. The home was generally tidy and free from odour with the exception of one area of the home. This is an ongoing issue for the home and relates to the inappropriate storage of food by a resident. The manager and staff are aware of the problem and must ensure that the inappropriate storage of food does not take place and the condition of the environment is not compromised any further. The weekly protocol in place that was developed within the multi-disciplinary forum must be followed. There is a laundry adjacent to the main kitchen. It was noted that garden equipment was stored in the room, which pose a safety risk. It is required that an alternative storage area is found to store the equipment. Some residents are expected to undertake some laundering tasks as part of their independent living skills initiative. Washing machines do not have sluicing facilities. Laundry that requires sluicing is sent to the central laundry on site. It was noted that in some areas, general waste bins were of the swing top type. It is required that bins are replaced with the foot pedal type to prevent the spread of cross infection. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 18 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): 34, 36 & 42 The procedures for the recruitment of staff are robust and ensure that residents’ safety is protected. A structured supervision framework is in place to ensure that residents benefit from a staff team who are appropriately supervised. Health and safety systems within the home need to be strengthened to ensure that residents’ health, safety and welfare are protected and promoted. EVIDENCE: Staff personal files are now held centrally. However, there was evidence in place to indicate that appointed staff members were in receipt of satisfactory ‘POVA first’ checks and Criminal Record Bureau (CRB) clearances along with satisfactory references. Staff supervision notes were not read however, staff spoken to confirm that they receive regular supervision on a monthly basis. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 19 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): 42 Some health and safety checks are being carried out however, the system in place needs to be improved to ensure that residents’ health and safety are not compromised. EVIDENCE: It was noted that the fire risk assessment for the building needed to be updated. Evidence was in place, which indicated that the fire panel was checked weekly and that regular fire drills are undertaken. However, it was noted that during a fire drill one resident refused to leave the house. It is recommended that the manager develop a protocol to ensure that all staff are aware of their responsibility and the appropriate action to take should such an incident occurs in a real situation. There was evidence to indicate that the water temperature test to prevent the spread of Legionella was recently undertaken. It was noted that hot water temperatures in shower areas were not checked and recorded. It is required that water temperatures in shower areas and in wash hand basins in residents’ bedrooms and communal areas are checked Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 20 and recorded weekly. Copies of records must be available for inspection purposes. Evidence was in place to indicate that accidents sustained by residents were recorded appropriately. There was no evidence available to indicate that the central heating system, boilers and hoist in the bathroom are regularly serviced. The manager is required to ensure that service records and certificates are kept in the house and available for inspection purposes. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Greene House Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score X X X X X 2 X DS0000022973.V254981.R01.S.doc Version 5.0 Page 22 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. 1 Standard 6 Regulation 15(2)(b) Requirement The manager must monitor the care plans and daily record sheets on a regular basis to ensure that individuals’ care needs are being met. The manager must ensure that care plans reflect the care that is being provided The manager must ensure that amendments to risk assessments and action plans in individuals’ care plans are dated and signed by individuals. The manager must develop the complaints folder further to include clear actions of outcomes. The manager must forward an action plan to the Commission detailing when the decoration of corridors and the refurbishment of toilets and shower facilities will commence. The manager must ensure that maintenance and cleaning work identified in this report, as needing attention is carried out. The manager must ensure that swing top general waste bins are replaced with the foot pedal type DS0000022973.V254981.R01.S.doc Timescale for action 31/10/05 2 3 6 6 15(2)(b) 15(2)(d) 31/10/05 31/10/05 4 22 22(1)(3) 31/10/05 5 24 23(2)(b) 31/10/05 6 24 23(2)(b) 31/10/05 7 30 16(2)(k) 31/10/05 Greene House Version 5.0 Page 23 8 9 42 42 13(4) 13(4) 10 42 10(1) to prevent the spread of cross infection. The manager must ensure that the fire risk assessment for the building is kept under review. The manager must ensure that the hot water temperatures in shower facilities and in wash hand basins in residents’ bedrooms are checked and recorded weekly. The manager must ensure that service records relating to the central heating, boiler and hoists are kept on sight. 28/09/05 28/09/05 28/09/05 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 2 3 4 5 Refer to Standard 20 20 20 22 42 Good Practice Recommendations It is recommended that the manager should ensure that that liquid medication bottles are wiped after use with a damp cloth. It is recommended that a protocol for the administration of Forsamax medication should be developed. It is recommended that the manager should ensure that labels with the fading writing on the diazepam packets be replaced It is recommended that the manager should ensure that details of all verbal concerns be recorded. It is recommended that the manager should develop a protocol relating to fire safety evacuation to ensure that staff are consistent when responding to any fire emergency situation. Greene House DS0000022973.V254981.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 Greene House DS0000022973.V254981.R01.S.doc Version 5.0 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!