Inspection on 22/07/06 for Hope Manor

This inspection was carried out on 22nd July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hope Manor 15/01/09

Hope Manor 23/01/08

Hope Manor 22/01/06

Hope Manor 19/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Hope Manor 220 Eccles Old Road Salford Gtr Manchester M6 8AL Lead Inspector Sue Jennings Unannounced Inspection 22nd July 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 Hope Manor DS0000063856.V297995.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. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hope Manor Address 220 Eccles Old Road Salford Gtr Manchester M6 8AL 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) 0161 788 7121 0161 788 7121 Coveleaf Ltd Mrs Christine Beasley Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 24 older people (OP) requiring personal care only may be accommodated. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Dependency levels of service users must be assessed on a continuous basis and staffing levels adjusted appropriately to ensure continued compliance with the minimum levels set out in the Residential Forum Guidelines, `Care Staffing in Care Homes for Older People`. 22nd January 2006 Date of last inspection Brief Description of the Service: Hope Manor is a 24 bed, privately run home for older people, providing personal care. The home is registered in the name of Coveleaf Ltd. The home is situated in a residential area of Salford on a busy main route and within close proximity to Hope Hospital. The home is accessible by public transport and major motor routes, such as the Manchester Ring Road. Parking facilities are available to the front of the house. The home is close to local shops, shopping areas, such as Salford City precinct, and other public amenities. The current fees for accommodation at the home are £395.00 per week. The fees include all meals, laundry, domiciliary chiropody and entertainment. Additional costs include hairdressing, dry cleaning and telephone calls. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection (CSCI), in relation to this home prior to the site visit. The site visit was unannounced and took place over the course of 5.5 hours on Saturday 22nd July 2006. The decision to carry out the site visit on a Saturday was in response to concerns raised about poor staffing levels at weekends. At the time of the visit the numbers of staff on duty was meeting the needs of the residents. There were however staff vacancies which were waiting to be filled. The manager was on a day off at the time of the site visit and it was commendable that she came into the home to provide information to the inspector. During the course of the site visit time was spent talking to the manager and 6 of the residents, 2 members of care staff and a visitor to find out their views of the home. Time was spent examining records, documents, residents and staff files. Ten questionnaires were randomly sent to residents accommodated at the home. The Commission for Social Care Inspection had not received any forms back at the time of writing this report. A tour of the building was also conducted. During this inspection it was noted that most of the requirements from the previous inspection had been addressed and there was evidence that this home was working hard to develop the service and meet the National Minimum Standards. During this inspection the key National Minimum Standards were assessed. What the service does well: Prospective residents’ needs were assessed before they were admitted into the home. The home has a complaint procedure and information about how to make a complaint is included in the home’s statement of purpose and function. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 6 Staff were observed to be pleasant and courteous with residents. Staff were seen to have good interactions with residents and were observed dealing with residents’ individual needs. Residents spoken to confirmed that they were treated with respect and that their privacy was maintained. Relatives spoken to said that they were welcomed when visiting the home. Family and friends are encouraged to visit regularly, where this is not possible staff at the home will assist residents to maintain contact via telephone or letter. Meals served were nutritious, well balanced and nicely presented. meals are available on request. Alternative Comments from residents were positive and included “The meals are always nice” and “There is a choice of food”. One resident spoken to said, “Twelve o’clock is too early for me to eat lunch” so staff served their meal later in the day. Health care professionals visited the home on request. This included occupational therapists, district nurses and a chiropodist, showing that residents’ healthcare needs were met by the home. 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. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ care needs are assessed and met by the home. EVIDENCE: The manager took a dependancy sheet with her to assess any prospective residents. This is in the form of a tick box and covers risks, mobility and physical care needs. There was a Statement of Purpose and Service User Guide. Care managers assessments of need were on file for those residents funded by the local authority and a care plan had been developed for each resident. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 9 The manager confirmed that the home does accommodate a number of residents who have dementia but that this was not their primary care need. If they felt they were not managing to care for a resident they would request a re-assessment via a care manager. The manager was aware of the homes registration category and that she could not accept residents falling outside that category. Residents placed by a local authority had a service contract on file and there was a statement of terms and conditions of residency. There was information available to staff to make sure they could meet the care needs of residents. A relative and resident were spoken to and said that they had been given a booklet about the home and were informed about the fees. It was apparent that the manager was available to visitors to discuss issues regarding their relatives care. Residents said that they were able to visit the home before making the decision to move in. One resident said, I did not come but my daughter looked at 6 or 7 before choosing this one for me, she would look after me herself but it is just too much for her. Relatives spoken to expressed their satisfaction at the care and attention received by their relative at the home. One relative said, I thought this home would suit and it has done. It is very homely. Hope Manor DS0000063856.V297995.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the health and personal care needs of the residents were being met at the home, however the recording of the administration of medication needed to be more accurate. EVIDENCE: A random sample of care plans were examined. There was evidence of ongoing work to improve the documentation of the care planning system since the last inspection. As required at the last inspection the plans of care were found to be detailed, informative and detailed the action to be taken by care staff to ensure that all aspects of health, personal and social care needs of the residents were met. Risk assessments had been developed but were part of the care plan. It was recommended that risk assessments be recorded seperately to the actual care plan to highlight the risks. The method of assessing risk was good, Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 11 it was a tick box questionnaire type document and covered all daily living tasks. During the site visit 6 residents and one relative were spoken to. The relative felt that the home cared for her mother very well. One resident said, They are wonderful - cant do enough for us. Another said, The staff are all very nice and obliging. Another said, I like to go out for a smoke and one of the girls comes and sits with me. One resident said, I can get up and go to bed when I want to. Another said, The girls work very hard. Residents were asked about receiving personal care from staff i.e bathing and all said that the staff showed respect. Observations of staff interaction with residents showed that staff approach was respectful, staff were seen to have good interactions with residents. Relatives visiting the home said that the staff were approachable and that if they were concerned about anything to do with their relatives care they would discuss it with the manager and felt confident that issues would be addressed. Each resident was registered with a local GP and where it had been possible have retained their own GP. District nurses visited the home on request and there was access to a chiropodist and dentisit. This ensured residents were in receipt of appropriate health services necessary to support their health care needs. Medication was dispensed in a blister pack monitored dosage system and stored in a locking metal trolley and the manager reported that the dispensing pharmacist for the home was providing certified training for staff in the safe administration of medication. Evidence was seen that the Medication Administration Recording (MAR) sheets contained a number of gaps in recording. The manager was made aware of this and stated her intention to check rotas and speak to the person responsible for administering medication on those days. The requirement made at the last inspection regarding staff handling medication during administration had been addressed and during this site visit staff were seen to be wearing blue latex gloves when administering medication. Hope Manor DS0000063856.V297995.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided a good environment for the residents who live there with a wide range of activities and a nutritious, well balanced and varied diet for residents. EVIDENCE: In discussion with one resident and a relative it was confirmed that the home had an open visitors policy where people can visit residents at any reasonable time. Residents can see visitors in privacy or in quiet communal areas and there are no restrictions placed on visitors unless requested by the resident or agreed through the care management and risk assessment process. From observations, residents, visitors and staff spoken to it appeared that residents were able to exercise choice and control with regard to their day-today lives. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 13 It was noted that bedrooms had been personalised with residents belongings brought in from home. The home provided a good environment for the residents who live there with some activities available. One resident said, We have people coming in to sing. Another said, Someone comes in to do keep fit with us and a man comes to give me holy communion. Residents spoken to said that they were able to maintain contact with family and friends and were able to exercise choice and control over their lives. One resident said, There are no rules here. I go to bed about 9pm and I sleep about 12 hours. They dont disturb me. Another said, It is a nice clean comfortable place. The atmosphere is nice and so are the staff. Meals served at the home were nutritious, well balanced and offered a healthy and varied diet for residents. One resident said, Twelve oclock is too early for me to eat my lunch. I prefer to go a bit later. The girls serve me when all the others have eaten. The meal on the day of the site visit was chicken casserole with bread and butter, and apricots and cream for sweet. Alternatives are offered and the cook speaks to residents on a daily basis. This was confirmed by residents. Staff were seen to assist those residents who needed help with eating. One resident said, The food is always nice and there is always lots of it. Another said, The food is wonderful - I cant fault it. The menu showed that the home provided a varied, nutritionally balanced diet. The cook said that an alternative to the main meal was available and residents and staff confirmed this. Hope Manor DS0000063856.V297995.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had policies and procedures in place to ensure the residents were safeguarded from abuse. EVIDENCE: The home had a complaint procedure, which was included in the Service User’s Guide, and every resident had been given a copy. Residents spoken to knew how to make a complaint. One resident said, I have nothing to complain about but if I did I would tell the boss. The manager said that not all of the staff had received POVA training but she had a set of videos which she intends to use for staff training purposes. The manager has approached the Salford Partnership to discuss Adult Protection Training which is provided free of charge and is based on local adult protection policies and procedures. The home has a copy of the Salford Adult Protection Policy and Procedure. Staff spoken to said that they would inform the manager of any concerns they had regarding the abuse of a resident. A notice board in the home displayed a number of thank you cards and letters. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are safe and the homes environment was generally well maintained both internally and externally. EVIDENCE: The home felt comfortable and homely. All areas of the home were tastefully decorated and furniture was of a domestic nature and of a good standard. The home was clean, tidy and no offensive odours were detected. Residents and a visitor who was spoken to confirmed that the home was always clean and tidy. Evidence available indicated that routine renewal and maintenance of the home was on going. Appropriate risk assessments were in place where required. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 16 Bedrooms seen during the site visit were clean, comfortable and personalised to varying degrees reflecting the character of the resident. One resident said, It is always clean here. Another said, I have brought some of my photographs and ornaments with me but I didnt want to bring too much although I am sure they would have allowed it. The manager queried the use of easy clean flooring and was advised that the resident and or their relatives must be included in any decision making, the chosen floor covering must be safe i.e. non-slip and that carpeting should be discussed with the next resident admitted to the room. The home had introduced the use of sanitising alcohol gel that was carried by staff to cleanse hands. This is good practice. The bathroom and toilets were sufficient in numbers to meet residents needs. Externally, the property was very well maintained. The gardens were well kept, safe and accessible to residents. Laundry facilities were fit for purpose and appropriate protective clothing and hand washing facilities were available. Policies and procedures were in place for the control of infection. This helped to protect both residents and staff from the potential spread of any possible infection. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff appeared sufficient to meet the needs of the residents accommodated. EVIDENCE: The site visit was done on a Saturday as a result of a complaint about staff shortages. The home’s staff rota was examined and at the time the Commission for Social Care Inspection received the concerns about staffing levels at the weekend it was evident that only two members of staff had been on duty. At the time of the site visit the number and deployment of staff available appeared sufficient to meet the residents’ assessed needs. There were three care staff on duty, two of them seniors and a cook. During the site visit the manager who was off duty came in to the home to facilitate the visit. There was evidence to show that two members of staff had left the home recently and the staff spoken to confirmed that there were usually four staff on duty with one being the senior in charge. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 18 The manager stated that the home used agency workers on occasion but that she felt that there was sufficient staff on duty to meet the needs of the residents. The residents appeared to be well cared for and staff were seen assisting residents in a polite and courteous manner and residents confirmed this to be the norm. One resident said, “The staff are always busy they never have any spare time.”. The manager and staff were working hard to minimise the impact on residents’ care. The home must consistently monitor staffing levels and deployment of staff to meet residents’ needs. The manager explained that wherever possible, the home uses the same agency workers who are familiar with the home and residents. Staff recruitment procedures were appropriate but the manager confirmed that two members of staff had left the home in the past month and had not yet been replaced. This had put pressure on existing staff who were working additional shifts. Two references were on file for staff as well as CRB checks. One reference was from the previous employer. It is recommended that where staff have worked in more than one care situation that all previous employers are asked for a reference. The requirement made at the last inspection regarding staff training in managing difficult behaviour associated with dementia and mental health. Had been addressed by the manager providing dates for when staff will attend dementia care training. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s quality monitoring systems protected residents and the home had systems and procedures in place which safeguarded and protected residents financial interests. EVIDENCE: Evidence was seen that the manager ensures the health, safety and welfare of the residents and staff are protected at all times. A health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 20 residents and staff had relevant information to enable them to live and work in a safe environment. Evidence was provided that the home’s maintenance certificates and records were up to date in order to protect the residents and staff employed. There was also evidence to show that heating; gas installation, hoist and lift servicing had taken place. Fire alarm systems are tested on a weekly basis by staff in the home and annually by the local fire officer. Residents’ families assisted them with managing their financial affairs. The home was not appointee for any of the residents. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement The registered person must ensure that there are no gaps in the recording of medication administration records. A risk assessment must be carried out for whether window restrictors need to be fitted. Timescale for action 23/09/08 2. OP38 13 30/09/06 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. 2. 3. Refer to Standard OP7 OP12 OP27 Good Practice Recommendations It is recommended that risk assessments provide more detail about the action needed to reduce risks to residents. The registered person should introduce systems which records residents’ individual participation in activities within their care file. The registered person should ensure that staff are provided in sufficient numbers to meet the needs of residents and increased at peak periods and times of higher demand. Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Hope Manor DS0000063856.V297995.R01.S.doc Version 5.2 Page 24 - 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!