Inspection on 01/02/07 for ICS 60 Ward Grove

This inspection was carried out on 1st February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

ICS 60 Ward Grove 31/03/09

ICS 60 Ward Grove 20/01/06

ICS 60 Ward Grove 23/08/05

ICS 60 Ward Grove 11/01/05

ICS 60 Ward Grove 04/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 ICS 60 Ward Grove 60 Ward Grove Warwick Warwickshire CV34 6QL Lead Inspector Key Unannounced Inspection 1st February 2007 14:00 ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service ICS 60 Ward Grove Address 60 Ward Grove Warwick Warwickshire CV34 6QL 01527 546000 01527 546888 allan.smith@individual-care.com 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) Individual Care Services Miss Emma L Benton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Manager to successfully complete the Registered Managers Award by 31 August 2006. Certificate for Registered Managers Award to be seen by CSCI when available and copies to be taken for file. 20th January 2006 Date of last inspection Brief Description of the Service: 60 Ward Grove is a registered care home for three younger adults (18 - 65) with a learning disability. The three service users also have physical disabilities and the home has been fully adapted to meet their needs. The home, a bungalow, is situated in a small cul-de-sac in Myton, which is on the outskirts of the town of Warwick. The home has its own transport, which is necessary as local amenities and facilities are not within easy walking distance. All facilities in the home are on the ground floor. The shared space consists of a lounge with dining area, kitchen and bathroom. There are four bedrooms, one is used as the sleepin/office for staff. The detached garage has been adapted to house the laundry facilities. There is a well-maintained garden at the rear of the property, which is easily accessible to service users. The home is considered to be a home for life for current service users, unless the home can no longer meet service users’ needs, or they express a wish to move. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first key inspection in relation to Inspecting for Better Lives. Identified key standards were looked at. The pre fieldwork documentation was completed, as well as a site visit to the home, during which time staff, residents and the manager were spoken with. Two residents were identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for residents. Records, policies and procedures were examined and the environment was looked at. All of the residents were at home for all or part of the inspection. The inspector would like to thank the residents, manager and staff for their hospitality and co-operation during the inspection. Information about the level of fees charged by the home was not made available for this inspection. What the service does well: The home consistently meets or exceeds the key national minimum standards ensuring positive outcomes for the residents. Residents care plans have recently been updated to reflect the information provided in the reviews undertaken by the social services reviewing team. Care plans continue to be detailed and informative, ensuring that staff are able to meet assessed needs. Comprehensive risk assessments enable residents to take meaningful risks in a safe manner. Residents are actively supported to make decisions about their lives both on a daily and more long term basis by staff who work hard at ensuring that they are able to recognise and interpret the limited verbal and the non verbal communication skills the residents have. Consideration is given to service users interests, hobbies and leisure pursuits when planning activities and holidays. Two residents are supported to attend formal day services during the week whilst the third has day care provided by the home. The involvement of families and friends is important to the residents, and is encouraged by the home. A clean, tidy, well stocked kitchen enables residents to choose from a range of meal options. The home promotes healthy eating and encourages service users to follow a healthy diet. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 6 Individualised equipment necessary to ensure that the residents personal care needs are met safely sensitively and discreetly where necessary is available. The health and wellbeing of service users is promoted via attendance at routine and more specialized healthcare appointments as necessary. Medication is managed safely on the residents behalf. The home has both a complaints policy and an adult protection policy in place. The complaints procedure has been provided in a format that is meaningful to the residents. No complaints have been received by the home or the Commission for Social Care Inspection. Similarly no allegations or suspicions of abuse have been made or received by the Commission for Social Care Inspection. The home was found to be comfortable and clean with nice décor and furnishings. The standard of accommodation was considered to be excellent at this inspection. Satisfactory staff numbers are employed to ensure that the residents needs are met. Training undertaken by the staff team ensures that the residents are supported by a competent and sufficiently knowledgeable team. The home is managed by a competent manager with whom both the residents and staff team appeared to have a good rapport. The home has a quality monitoring system in place that ensures that the residents views are at the forefront of service development. Health and safety is managed effectively within 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. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 8 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 ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): x Quality in this outcome area is not applicable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new residents have moved into the home since the last inspection therefore this standard is deemed to be not applicable on this occasion. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. Comprehensive, detailed care plans and risk assessments ensure that the well being and safety of the residents are promoted. The staff work hard to ensure that the residents are fully involved in all aspects of their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two care plan files were looked at as part of this inspection. Information was available within these files to confirm that reviews had been carried out by the social services reviewing team in December 2006. Comprehensive information detailing all aspects of care and support required by the residents was in place as was information about individual skills and abilities, aspirations and changing needs, which reflected the information contained within the review documentation. Examples of information contained within the care plans looked at included accommodation, rights and freedoms, communication and advocacy and self-care. Information to confirm that care plans are reviewed on ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 11 a 6 monthly basis was available; as was a statement signed by the residents relatives confirming that they are consulted about their relatives care plans. All three of the residents have limited or no verbal communication. It was evident during the inspection that the staff have built a rapport with each person that enables them to interpret non verbal clues, and thus understand what was being conveyed. This ensured that the residents are fully involved and supported in making informed decisions about their lives. Residents were fully included in all conversations and general activities during the inspection, including cooking the evening meal and making drinks. Risk assessments were available within the files looked at. These reflected the care plans that were in place, and contained information that would enable the residents to take risks within a safe framework. As all three of the residents use wheelchairs on a permanent basis current manual handling assessments were also in place. Again there were records available to confirm that the risk assessments were being reviewed on a 6 monthly basis in line with the care plans. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. Service users are offered age, peer and culturally appropriate activities in which to participate that make best use of in house and community facilities. Relationships with families and friends are promoted. A healthy, nutritious diet is provided. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the residents were out at their formal day service for a large part of the inspection, whilst the third was out with a member of staff as she does not attend a formal day service. Staff spoken with said that one of the residents accesses college courses from the day centre, which was confirmed by the resident upon his return home. Information was available within the files looked at of residents hobbies and interests which included activities such as watching football games, trips to the theatre and cinema and walks around local parks. Staff spoken with said that ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 13 one resident has chosen to go on holiday to Wales in March. The resident was able to confirm this and indicated that he was looking forward to it. As previously stated one resident does not attend a formal day service provision, so has a programme of activities is provided by the staff on duty. As well as social and leisure pursuits this also includes health specific activities such as sessions with a physiotherapist, who visited on the afternoon of the inspection. All three of the service users have very close relationships with their families. The home has an open visiting policy which enables friends and relatives to feel comfortable with popping in and out. Residents also enjoy visits ‘home’ for days or weekends. Information was also available within residents files looked at to demonstrate that they are fully involved in their relatives care planning and reviews. The home has a domestic narrow kitchen, which was clean and tidy on the day of the inspection. The cupboards, fridges and freezers were well stocked. Plenty of fresh fruit was also available. Individual records of foods and meals eaten by the residents are maintained, which demonstrated a healthy nutritious diet. When asked if the food was nice one resident nodded his head and smiled, indicating that it was. Health and safety records pertinent food and kitchen hygiene were in place and complete, and all staff have current training in basic food hygiene. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. Service users receive personal support in line with their assessed needs. Service users healthcare needs are monitored and addressed. Medication is managed safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All three of the residents require total support with meeting their personal and health care needs. Individual needs based equipment to assist with personal care and support was seen to be available for each person within their bedrooms and the shower room. Information in the care plans looked at described how best to meet these needs. Throughout the inspection staff were seen to support the residents discreetly behind closed doors. Information was available within the files looked at to demonstrate that residents’ relatives had been consulted with regards to the issue of same gender personal care provision. The manager said that she strives to ensure that their feelings regarding this issue are adhered to. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 15 Information to confirm that residents are supported with both their general and more specialised healthcare needs was available within the care plans looked at. Dates and information concerning the most recent appointments at the dentist and opticians were recorded, as were appointments with the consultant psychiatrist, GP, medication reviews and the epilepsy nurse. The home manages the service users medication on their behalf. It is supplied in blister packs by Boots and is accompanied by medication administration record charts (MARS). The storage of medication was appropriate. Records to confirm that staff have received training in medication administration were seen. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. The homes policies on complaints and protection from abuse ensure that service users views are listened to and acted upon, and that service users are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place that has been compiled using pictures and text so that it is accessible to the residents. A copy of this was available in the service users files looked at. Although the residents were unable to say whether they knew how to complain because of their communication difficulties, all three looked happy and relaxed within their environment and were interacting with the staff in a positive and jovial manner. A complaints log was available, however the manager siad that no complaints had ever been received about the home, therefore the log was empty. No complaints regarding the home have been received by the Commission for Social Care Inspection. The home has a policy on the protection of adults from abuse. Staff have received training in this and were aware of their responsibilities should abuse be disclosed or suspected. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is excellent. Both properties within this registration provide clean, comfortable good quality accommodation to service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home, a bungalow, is situated in a small cul-de-sac in Myton, which is on the outskirts of the town of Warwick. It has been fully adapted to meet the needs of the three residents. The shared space consists of a lounge with dining area, kitchen and bathroom. There are four bedrooms, one of which is used as the sleep- in/office for staff. The detached garage has been adapted to house the laundry facilities. Cleaning products were also stored in this room. Control of substances hazardous to health (COSHH) data sheets were available for the products that the home uses. There is a well-maintained garden at the rear of the property, ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 18 which is easily accessible to service users. The home was in immaculate condition, being nicely decorated with good quality furniture and soft furnishings throughout. The home was clean, tidy and well ordered on the day of the inspection. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. Residents benefit from sufficient numbers of competent, knowledgeable staff that are recruited in a manner that ensures that they are protected from potential harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs 6 staff including the registered manager. A minimum of two staff per each day shift and one staff sleeping in the home over night support the residents. The manager felt that this was satisfactory to meet the needs of the residents. Two new staff have been employed since the previous inspection. Records held in the home confirmed that the organisation adheres to satisfactory recruitment procedures that safeguard the residents. The manager said that the original criminal records disclosures are held at the organisations head office, but that she is provided with a print out confirming the disclosure number for each employee. The organisation is reminded that the criminal records disclosures for all new staff must be available for inspection in the home. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 20 The organisation has a training manager in post, who, the registered manager said, is responsible for organising and coordinating staff training. Each member of staff has an individual training record in place. Those looked at confirmed that staff have received training in medication administration, abuse awareness, Dysphasia, food hygiene, and care planning. Staff are also registered on the Learning Disability Wards Framework. Information provided in the pre inspection questionnaire indicated that training has also been provided over the last twelve months in fire safety, makaton and dementia. No information was provided regarding how many staff have achieved their NVQ II or above. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. The home benefits from a competent manager. An effective quality monitoring system ensures that service users views are at the forefront of service development. Health and safety is managed effectively. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that she has very nearly completed the NVQ IV in Management qualification as per the condition of registration, and is hoping to have it verified in March of this year. Staff and residents appeared to have a good relationship with the manager, who appeared cheerful, approachable and amenable. She also displayed a good knowledge of the needs of the residents. The home has a quality monitoring system in place that takes into account the views of service users in a manner that they are comfortable with. This is in ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 22 the form of pictorial questionnaires requiring yes / no answers. This ensures that they are at the forefront of service development. Questionnaires are sent to external professionals that have links with the home; the NVQ Assessor and relatives, as well as to the service users themselves. It was pleasing to note that following inspection of another service within the organisation, the recommendation to include staff in the consultation process has been adopted and is now in place via individual supervision sessions. Reports from regulation 26 visits were available to look at, as were minutes from staff meetings. Health and safety is maintained within the home. Dates of when the most recent maintenance checks were undertaken were provided on the pre inspection questionnaire. A sample selection of health and safety records in the home which included fire safety records confirmed that they were in place and up to date. ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 4 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations ICS 60 Ward Grove DS0000004365.V325977.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 ICS 60 Ward Grove DS0000004365.V325977.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!