Inspection on 30/08/06 for Holme View

This inspection was carried out on 30th August 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Holme View 30/07/08

Holme View 21/08/07

Holme View 22/11/05

Holme View 18/01/05

Holme View 14/10/04

Holme View 17/03/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Holme View Gillingham Green Holme Wood Bradford BD4 9DT Lead Inspector Sughra Nazir Unannounced Inspection 30th August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holme View Address Gillingham Green Holme Wood Bradford BD4 9DT 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) 01274 681682 01274 687205 City of Bradford Metropolitan District Council Department of Social Services Mr John Venner Care Home 37 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (37), Old age, not falling within any other of places category (37) Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Holme View is operated by Bradford Metropolitan District Council and provides residential care and day care. The home is still in the transitional period as the service user category is changing from elderly to a dementia home. The home is currently providing a dual service with the ground floor occupied by people who were already resident in the home with existing staff. Staff and service users from the dementia unit who transferred to site now occupy the top floor. Holme View is a purpose built establishment located in the Holmewood area on the outskirts of Bradford city centre. It is convenient to local amenities and services. The home is designed with four separate wings. Digital locks are fitted around the home and on all exit routes making sure that service users are safe. There is also a day centre on the premises. Day care is not regulated and therefore is not inspected. Although the home is close to the city centre it has a green outlook. A secure fence surrounds the perimeter and there is a garden where service users can sit out. It has a good working relationship with the local health centre and District Nurses attend the home on a weekly basis giving advice and support to the staff. All laundry is dealt with on the premises. There are adequate numbers of bathrooms and toilets and a new walk in shower has been fitted. Information provided by the home in respect of fees says that residents pay according to their financial assessment. Fees range from £94.43 a week (low rate) to £159.95 (medium rate) and £435.68 (highest rate). The last inspection report is available in reception. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) will be inspecting homes at a frequency determined by how the home has been quality rated. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a visit to the home. All regulated services will have at least one key inspection between April 2006 and June 2007. This is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for people using it. All the core National Minimum Standards are assessed and this forms the evidence of the outcomes experienced by residents. This was the first inspection of this home for the 2006 to 2007 period. Due to the number and nature of requirements outstanding from previous inspections this home was quality-rated as adequate. Since the last inspection there have been a number of issues investigated under adult protection procedures. There have been changes to the home’s management and staffing. The visit to the home was carried out by two inspectors who each took 7 hours to gather information by looking at files and speaking to the residents, visitors and staff before giving the acting manager detailed feedback. The registered manager from another home who had temporarily managed the home over the summer was present for part of the inspection. The authority’s Residential and Day Care Services manager joined the acting manager for the feedback session. Prior to the visit, a pre-inspection questionnaire was sent out to the manager for completion. This was returned and the information has been used to inform the visit. In addition survey cards were left at the home for completion by residents and relatives. Eight survey cards were received following the inspection and comments are referenced throughout the report. What the service does well: All the service user surveys returned confirm that the home is always fresh and clean. One service user said that she always gets the care and support she needs. She said she was “happy with staff” and that they are “very kind”. Another said “it’s a lovely place.” Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 6 Staff were observed throughout the day and treated residents with respect. There was a friendly homely atmosphere. There is good communication between the home and relatives. Staff have benefited from good support from senior management. What has improved since the last inspection? What they could do better: The home must make sure it has an upto date statement of purpose available that gives service users and others the information they need. This is a specialist dementia service and the home must make sure that the needs of its residents are met in all aspects of care including communication. Some improvement is needed to make sure that residents with dementia get access to stimulation and activities that will improve their well-being. The home must make sure that the environment is safe for its residents and remove or lock away any hazardous substances. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 The quality in this outcome area is poor. This judgement has been based on available evidence including a visit to this service. Service users and relatives/advocates do not have the information they need to make a choice about the home. EVIDENCE: A copy of the statement of purpose was not available. The home should make sure that there is an upto date document available for prospective and existing residents. One service user in their survey response said they had not received enough information about this home before they moved in. Another said they had enough information and that they “came to look round before moving in.” Although there is a contract of terms and condition for residents this is not given to people who use the short stay facilities at the home. This was discussed with the acting and senior manager present. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 9 and 10 The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to this service. Care plans are improving but staff need to make sure that they record fully resident’s needs, action to be taken and any risks, to make sure needs are appropriately met. There are safe medication procedures in place. EVIDENCE: The local authority has developed new assessment and care planning documentation. The manager said not all care plans had been changed to the new system. Staff had been shown how to use them and were making good progress in transferring all care files onto a new format. 4 care plan files were looked at. Record keeping is generally clearer and information is easier to find. Individual files varied in the amount of information they contained. Staff are very committed to this work and have come into work on days off to bring files up-to-date. There was some evidence of involving residents or their relatives in care planning and in reviews but on other files this was not recorded. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 11 Residents had care assessments in place but some of the identified needs had no supporting plan of action. The bartel dependency assessment was carried out for one resident and they scored as being at risk but there was no plan of care showing action to be taken to minimise the risk. Risk assessments for moving and handling, and pressure area care were seen. There was no record of a nutritional risk assessment on any of the files looked at. Staff were observed throughout the day and treated residents with respect. There was a friendly homely atmosphere. There was some information on the last wishes of one resident. Recording of social interests likes and dislikes could be improved. Medication records were generally complete and the acting manager has asked senior carers to take responsibility for checking the records. Since the last inspection all staff administering medication had had training or were in the process of receiving training on the safe handling of medication. The acting manager said no staff are allowed to give out medication unless they have training. The ordering of medication was in line with the RPS (Royal Pharmacautical Society) “Guidelines for safe handling of medication in residential home.” Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to this service. Residents would benefit from more social and recreational activities to make sure they are able to lead fulfilling lives. EVIDENCE: Service user comments in respect of activities were “would like more entertainment in the home, like film show or singer.” “would like more activities, not energetic ones.” Residents who are able to attend, take part in the social recreational activities in the day centre. Other activities are limited. More stimulation needs to be provided for service users with dementia. There are plans in place for the activity organiser to work with staff to plan activities for residents, which would include one to one activity for people who need this, making sure that all residents social needs are meet. This would be part of their care plan. The home has a minibus which can be used by permanent residents as well as day care users. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 13 People from the local church visit the home and offer residents the opportunity to take part in a service and communion. Relatives and friends are encouraged to keep in touch with an open visiting policy. The home uses a four-weekly menu system, the menu is available for staff in a transparent wallet fastened to the dining room walls. The information displayed was not in a format, which was easily read by residents. Staff did not know what was on the menu until asked to check. There was little or no evidence that people had a choice of food at meal times. The meal at the time was roast pork and vegetables. The mealtime was observed. All the residents had the same meal, portion sizes were varied and one meal was served in a bowl rather than plate to meet the individual needs of that resident. The blackberry and apple pie was replaced with rice pudding for all. One survey comment from a resident was that they “would like less sandwiches on an evening” due to indigestion. The home needs to make sure that the menu and any alternatives available are discussed with service users. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 17 and 18. The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to the service. Service users need to have better information about the formal complaints policy, so they know their concerns will be listened to. The home needs to continue to develop its practice to make sure service users are protected from abuse. EVIDENCE: During the visit two service users said they did not know that they could complain to anyone outside the home. In the surveys, when asked if they knew who to speak to if they were not happy, one service user said they “would speak to boss lady in the office”. Another response was, “member of staff or keyworker” Information about how tomake a complaint was displayed on a central noticeboard. Some improvements could be made by displaying this information around the home. The format should be suitable for the residents in the home. There was confirmation on file that a resident had been registered for postal voting. The issue of capacity to vote was discussed and the Residential and Daycare services manager said that this was not clear in all cases and that all residents are registered to vote. The acting manager said that there were safeguards such as two staff observing to make sure that residents’ votes are not abused. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 15 Since the last inspection there have been a high number of issues referred to the adult protection unit. This has included allegations of assault and high levels of reported falls. There is an adult protection strategy in place and the service is working with the adult protection unit and the police. Steps have been taken to safeguard service users and to make sure that a thorough and detailed investigation can take place. For this reason the registered manager and other senior care staff are not working at the home. Senior management have taken action to ensure that there is effective management of the home. The plan includes keeping agency staffing to a minimum and staff working flexibly, sharing skills across other homes. There has been training at the home to raise staff awareness of confidentiality and good communication, however two staff said that they had not had training on adult protection. This needs to be addressed. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to this service. Service users live in a home that is clean and fresh and meets their needs. EVIDENCE: Both inspectors toured the premises looking at communal areas and at some bedrooms. All areas seen were clean and fresh. Carpets and chairs were clean However, the downstairs corridor was showing signs of wear and tear and the ceiling cornices are coming away in some bedrooms. The managers said there is a programme of redecoration in place. This is a specialist dementia home and the home should do more to ensure that the environment promotes orientation and independence, for example through improved signage on bathroom doors or easier identification of individual bedrooms. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 17 Not all bedrooms had a comfortable chair and table. Some bedroom doors were kept locked and opened by staff. If this is part of their care plan, this should be recorded. Three residents said they had a key for their room and kept them locked. One person said she was not aware that she could have a key to keep her room locked. This was discussed with the acting manager who said she would review all service users and issue a key to those who wanted one. Some of the bedroom windows were still open in the late afternoon and rooms felt cold. An upstairs bathroom had personal soap and some steradent in an unlocked cupboard. Environmental health recommendations and advice on colour-coding of cleaning materials and dilution of cleaning agents has been implemented. New equipment has been purchased and the home now uses ready mixed solutions to avoid errors. Domestic staff now have work schedules which they say helps them to organise and perform their duties. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to this service. Service users receive care from skilled and committed staff. EVIDENCE: The staff team work well together. There have been agency staff at the home but the managers have tried to keep their use to a minimum. They have instead supplemented staffing by drawing on staff from other units. One member of staff said they were happy to volunteer for additional shifts and the acting manager is aware that this may not be sustainable over a long period of time. Vacancies are being recruited to, using the local authority fast track recruitment events. Service users comments about staffing were Staff are usually available, “sometimes I have to wait because staff are busy” No requirement has been made as the service is taking action to address the shortfalls. Nighttime staffing levels have been increased as part of a review of staffing hours. There are now three waking staff on duty and staff said this has made a difference. Staff have shown a high level of commitment to improvements to the home for example coming in on days off to update documents. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 19 Staff files and conversations with staff confirmed that there has been a lot of formal training at the home. National Vocational Qualifications (NVQ) levels are good with more than half the staff either holding the qualification or working towards it. There has also been a lot of informal and adhoc training to cover issues such as confidentiality, communication, medication etc Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The quality in this outcome area is adequate. This judgement has been based on available evidence including a visit to this service. Service users live in a home that is managed and takes account of most of their health and safety needs. EVIDENCE: The registered manager is absent from the home. An experienced manager from another home was seconded to provide cover and has returned to her permanent post. A new acting manager has now been appointed and should remain in post until a decision is made about permanent management arrangements. The home like others operated by the local authority has a wide range of performance management and assessment procedures and plans in place. The acting manager said that annual surveys are usually carried out. The Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 21 residential and day care services manager said that there were plans in place to circulate questionnaires to service users and relatives. The outcome would be shared with the Commission and other stakeholders. In view of current issues surveying at this home had been postponed. A requirement has not been made to reflect the difficulties the home has been subject to. Staff do not act as appointee for any residents and relatives are encouraged to take on this role. Records are kept of all financial transactions. Staff spoken to and supervision records seen confirm that supervision takes place at regular intervals. Information provided by the home in a pre-inspection questionnaire showed that all health and safety checks were carried out and up-to-date. Specific risk assessments were seen for staff moving and handling. Risk assessments have been carried out for the premises of all potential health and safety hazards including hazardous substances. However during a tour of the premises some Steradent, (denture cleaning substance) was found in an unlocked cupboard in one bathroom. This poses a risk to residents if eaten. This matter was brought to the immediate attention of management. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 1 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 2 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 X x 2 Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4,5 Requirement An up-to-date Statement of Purpose must be made available to current and prospective residents. The registered person must make sure that short stay residents have a comprehensive assessment of their needs carried out and recorded. All needs identified by assessment must be specified in care plans. Monthly reviews and nutritional screening must be documented. Service users or their relatives must be involved in care planning where appropriate. The previous timescale of 31/03/ 06 was not met. Service users interests must be recorded and opportunities provided for stimulation through leisure and recreational activities that meet their needs and abilities. Particular attention must be paid to the needs of service users with dementia. Upto-date information about activities must be circulated to DS0000033613.V301875.R01.S.doc Timescale for action 30/11/06 2 OP3 14 30/11/06 3. OP7 15 30/11/06 4 OP12 14(1(a)4( 1)(a) 31/12/06 Holme View Version 5.2 Page 24 6 OP15 12(2)(3) 7. OP16 22 8 OP18 13 9 OP38 13 all service users in formats suited to their capabilities. The previous timescale of 30/04/06 was not met The manager must ensure that there is a menu (changed regularly) offering a choice of meals, and that is displayed or discussed with residents. The displayed information on how to complain must be corrected and made available to service users in an accessible format. The previous timescale of 31/01/06 has not been met. The registered person must ensure that all staff are aware of and have attended training on adult protection. The registered person must make sure that steradent is not left in an unlocked cupboard. 30/11/06 30/11/06 31/12/06 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP2 Good Practice Recommendations The registered person should make sure that short stay residents are issued with a contract setting out the terms and conditions of their stay. Holme View DS0000033613.V301875.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Holme View DS0000033613.V301875.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!