Inspection on 27/06/05 for Maple Dene

This inspection was carried out on 27th June 2005.

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

Other inspections for this house

Maple Dene 14/08/07

Maple Dene 06/09/06

Maple Dene 15/12/05

Maple Dene 10/03/05

Maple Dene 28/09/04

Maple Dene 13/01/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Maple Dene 10-14 St Agnes Road Moseley Birmingham B13 9PW Lead Inspector Ann Farrell Unannounced 27th June 2005 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 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. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Maple Dene Address 10-14 St Agns Road, Moseley, Birmingham B13 9PW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0121 449 7677 0121 449 6155 Anchor Trust Geoffrey Ellis Care Home 40 Category(ies) of Old Age - Physical Disability (40) registration, with number - Dementia (6) of places Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate 40 adults over the age of 65 who are in need of care for reasons of old age, not falling within any other category (40 OP) and Physical Disability over 65 years of age (40 PD(E)) 2. The home can accommodate up to six service users who are in need of care for reasons of dementia. 6 DE(E) 3. In addition to the manager and ancillary staff minimum staffing levels must be maintained to at least 4 care staff at all times during the waking day. Date of last inspection 10th March 2005 Brief Description of the Service: Maple Dene is a large detached three storey property that is situated in a quiet residential area of Moseley, within easy reach of public transport and other amenities. The home is owned and managed by Anchor Trust. The house has been adapted and extended to provide residential accommodation for 40 people for reason of old age. Accommodation is provided in 38 flats, of which 36 provide single accommodation. There is adequate parking to the front of the building and a mature well maintained garden to the rear. Each flat has a small kitchen area suitable for the preparation of snacks etc. plus an en-suite facility that consists of a toilet and low level bath or shower. There are assissted communal bathing facilities on each floor as the low level baths may not be suitable for all residents. Communal facilities consist of a lounge and dining room on the ground floor. There are plans to provide a conservatory later this year. A passenger lift gives access to all areas in the home. The main kitchen, where all meals are prepared is situated on the ground floor, where there is also a laundry for the washing of all residents laundry. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted on an unannounced basis over a full day commencing at 8.00 on 27th June 2005. The registered manager is currently undertaking a secondment at another establishment and the deputy manager is acting up. The acting manager was present for the duration of the inspection. During the inspection process the inspector toured the home, sampled residents files and other documentation. The acting manager, three members of staff and approximately ten residents were spoken to. Resident’s views were very positive stating that they enjoyed living in the home. The acting manager was very enthusiastic and staff stated they were happy working in the home. They felt they worked as a team. The home has recently had a customer satisfaction survey undertaken by an external company and results indicated that the home was performing well and residents and relatives were very satisfied with the standard of care in the home. What the service does well: The home is friendly with a relaxed homely atmosphere. Staff are very welcoming and ensure residents privacy and dignity is maintained at all times. Feedback indicated there was a good standard of care and residents are allowed their independence. One resident stated, ”The staff are very kind; they are very good to me.” There are flexible routines and the staff are attentive to residents needs. Visiting is flexible and feedback indicated that visitors are always made welcome. There are regular meetings with residents and staff and management respond to suggestions continually looking at ways to improve the service. They respond positively to inspections and try to address requirements promptly. The home is always clean, odour free and well maintained providing a safe environment. There is a hearing loop system in the lounge for those with hearing aids. The staff stated they were happy working in the home and felt they worked as a team. They have good systems in place for the control of infection with each member of staff having hand gel and all residents clothing is laundered individually. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 6 The home provides a varied menu with a choice of meals and ample portions, which was appreciated by all residents spoken with. 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. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 standard(s) 1,3,4,5,6 The home has good procedures for the admission of residents to the home and written information is available enabling them to make an informed choice. Further development of recording assessments is required to ensure good communication of needs to all members of staff. EVIDENCE: The home provides long term care for residents over 65 years of age. They have a statement of purpose, service users guide and information pack. On discussion with the acting manager it was noted that the statement of purpose required enhancing and she stated that she will be reviewing the service user guide and information pack to produce one document for residents entering the home. On discussion with some residents who had recently moved into the home some stated that had received written information. All stated that they had been made welcome and those who had received the information stated it was useful and informative. The home liaises with social workers who provide written assessments/care plans for residents who wish to enter the home. They also invite prospective residents to the home enabling them to view the facilities, meet staff and other residents and partake in a meal. At this stage Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 9 the home is able to undertake an initial assessment to determine if they are able to meet residents needs. Following admission to the home a more comprehensive assessment is undertaken and an individual lifestyle agreement (ILA) is drawn up and there is a trial period of one month when a review is held with the resident, staff and family. On inspection of the records relating to admission there was noted to be an improvement in the records relating to the assessment with some providing a good range of information, but this was not consistently achieved. On discussion with the acting manager she was very knowledgeable about residents condition and needs. It was pleasing to see the developments to date, but some further work will be required to provide a consistent approach in recording to ensure clear communication of information to all staff. The home is registered to admit a number of residents with dementia and some staff have undertaken training in this area, which needs to be extended to all new staff employed in the home. The acting manager was aware of this and stated she was making arrangements for the training. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 standard(s) 7,8,9,10 The home has good systems in place to meet resident’s health care and medication needs. Although staff have a good understanding of residents needs and there are positive relationships the shortfalls in the recording system cannot guarantee consistency. EVIDENCE: The home draws up an individual lifestyle agreement (ILA) for each resident following admission to the home outlining how the resident’s needs are to be met by staff. On inspection of a sample of records they were found to be vague in areas, some had not been signed or dated, they were lacking in detail and all needs had not been included in the plan of care. In one case it was noted that there was no plan of care for a resident who had been in the home for over a month. It was also noted that they had not be reviewed on a monthly basis. Daily records were very basic lacked detail and did not consistently indicate follow up/monitoring of areas of concern. The inspector was informed the organisation is currently reviewing the documents in respect of care planning Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 11 On talking to senior members of staff they demonstrated a good knowledge and were aware of needs and issues, but this is reliant on them always being available plus good communication and memory. In order for a consistent approach to care detailed care plans should be in place for all staff to access. Manual handling assessments had been completed and in some files there was evidence of an assessment in respect of other risks, but the action required to reduce risks was vague. The home have good systems in place for monitoring health and nutrition and liaise with health professionals as required. The home manages the medication system well, but risk assessments had not been completed for residents who were self administering some of their own medicines. On discussion with resident’s they stated they were happy living in the home. One resident stated “ The staff are very very kind and they are very good to me”. Another stated “ I like the staff – they couldn’t be better”. It was noted that staff respected resident’s privacy and there was evidence of consultation with residents. At the time of inspection all residents were well presented. A public telephone is available where calls can be made in private and some had telephones installed in their rooms. The post was delivered directly to the residents flat by the postman, who informed the inspector it was an excellent home and he would be happy to move in. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 standard(s) 12,13,14,15 The home liaises with the local community. There are ongoing improvements in the management of social activities and catering with the employment of new staff. EVIDENCE: Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 13 Since the time of the last inspection the home has employed an activities coordinator who works twenty hours per week. He is currently in the process of organising a fete and there are regular sessions of progressive mobility and bingo has recently commenced. The notice board indicated that volunteers visit the home form the local church every two weeks and play games etc plus some gospel singers will be visiting shortly. Residents stated they are able to do as they wished and could come and go as they pleased. One resident stated “the home is flexible and allows you to be independent. It was also stated that the home had made arrangements to enable residents to vote at the recent elections. The home has a designated area for books and the library service visit regularly providing a range of books and talking books. A religious service is held in the home each month and ministers of various denominations visit on a regular basis or on request. There is a pleasant enclosed garden and patio to the rear with seating for resident’s use, when the weather permits. Visiting is flexible and residents have a choice of areas to receive visitors as there are a number of small alcoves in corridors in addition to flats and the lounge. On the morning of inspection the home received a thank you card from relatives which stated the home was a pleasure to visit with the staff making you feel welcome at all times. Residents take their own furniture into the home enabling them to create a home from home environment and can handle their own finances if they wish, although assistance is available in the home. The home employs separate catering staff who provide three full meals per day, which includes a three-course lunch. On discussion with residents they stated they enjoyed the meals, received a choice and ample portions. It was stated snacks and drinks are available between meals including supper if they wished. The inspector had lunch with the residents and found the meal to be of a good standard, hot and tasty. Staff were noted to be attentive to residents providing assistance where required. Feedback from a recent customer satisfaction survey indicated that there had been an improvement in the food since previous inspections. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 standard(s) 16,18 The home responds promptly and appropriately to any complaints or concerns raised. EVIDENCE: The home has a complaints procedure displayed on the notice board. Although it indicates the contact details of the Commission it does not advise residents or their representatives that they can contact the Commission at any stage in the process. On discussion with residents they stated they had no complaints, but some were not aware of the procedure if required. The manger will need to ensure there are systems in place for informing residents of the procedure. At the time of inspection the home had recorded seven informal complaints, which they had addressed and records were maintained. The home has procedures in respect of dealing with any allegations of abuse and evidence indicates the they would respond appropriately. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 standard(s) 19,20,21,23,24,25,26 The standard of décor and furnishings in the home is good, providing residents with a pleasant and homely environment to live. EVIDENCE: Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 16 The home is a detached three-storey building, which is clean, odour free and well maintained. There is adequate parking to the front and a pleasant mature garden to the rear. There is one large lounge, which is adjacent the dining room on the ground floor. Since the last inspection the main corridors have been re-decorated and there are plans for further decoration in the home, which will be appreciated as some of the areas are starting to look a little tired. There are also plans to provide a conservatory later this year. All flats are provided with locks and letterboxes to doors; they are carpeted and generally service users provide all their own furnishings, although furniture is available if required. Accommodation in provided in the form of 8 bed-sits and 28 flats with a separate bedroom and lounge/kitchen area, of which two are double. All flats are fitted with en-suite facilities; eight flats are fitted with showers and the remaining have baths, which were very low and may not suitable for the client group. There are assisted shower rooms and bathrooms on each floor, enabling residents to have a choice of bathing facilities. Staff have a master key to flats in the event of an emergency and they are in the process of providing lockable facilities in each room. Flats are individually and naturally ventilated and windows are provided with restrainers. The home is in the process of providing covers to radiators and water from hot water outlets are regulated. Laundry facilities were appropriately sited with a washing machine with sluice cycle. Part of the laundry area is segregated to provide sluice facilities. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 Staff morale appeared good, they were enthusiastic and there was noted to be good relationships between staff and residents. The home employs robust recruitment procedures ensuring the protection of residents. EVIDENCE: The staffing rotas indicated that the acting manager is on duty plus one senior carer and four care staff during the morning. There is one senior carer and three carers on duty during the evening and two carers overnight. The acting manager stated they are looking to increase the staffing to four carers during the evening. A small number of staff files were examined, which demonstrated a robust recruitment procedure. The home is currently recruiting staff and are waiting for completion of appropriate checks. In the mean time they are utilising agency staff to maintain adequate staffing levels. Approximately 50 of staff are trained to NVQ level and the staff in the process of completing other mandatory training. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,38 The acting manager, who is supported by the senior team, is enthusiastic and the home is managed in the interests of the residents. Their health, safety and welfare is protected. EVIDENCE: The registered manager is currently undertaking a secondment at another establishment and the deputy manager is acting up. There was evidence that residents are consulted about aspects of the home through meetings and on discussion with a number of residents they stated they were happy living in the home and would not like to change anything. On discussion with staff they felt the morale had improved and they generally worked as a team. It was confirmed that staff meetings occur and separate suggestion boxes are available for both staff and residents. A sample of records was inspected in relation to maintenance and they were found to be of a generally good standard. At the time of the last inspection there were some issues outstanding in respect of the lift. Records indicated that some of the issues had been addressed. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 19 The home has been experiencing some problems with the water system and are in the process of addressing it. Although fire drills had been undertaken recently there was no evidence to indicate that some staff had attended e.g. night staff. The home is in the process of updating mandatory training for staff, which is due. First aid training needs to be updated for some members of staff. The home has a quality assurance system in place and recently a company has been involved in a customer satisfaction survey obtaining feed back from residents and relatives. A report was produced following the survey and it produced very positive feedback with many stating they would recommend the home. The staff in the home have followed the survey up and have addressed some areas identified such as the lighting in bathrooms and are hoping to redecorate in the future. Records of monthly visits by a representative nominated by the responsible person were available. Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 2 3 3 x 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x 3 3 x x x x 3 Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 21 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4 Requirement The registered person must review and enhance the statement of purpose. Timescale of 30/12/04 not met. The registered person must ensure an assessment is completed for all residnets entering the home to cover all areas outlined in standard 3 of the National Minimum Standards. All assessments must be signed and dated. Timesclae of 28/8/03 not met. The registered person must ensure that ILA/care plan includes all areas of need/risk identified and record in detail the action required by staff to meet the needs of residents. They must be reviewed on a monthly basis and updated where appropraite. Timescale of 30/9/03 not met. The registered person must ensure daily records are appropriate and indicate follow up to any areas of concern. The registered person must ensure risk assessments are undertaken for all residents who self administer any medication. Timescale for action 30/11/05 2. 3 14 30/8/05 3. 7 15 30/8/05 4. 7 17(2) 15/7/05 5. 9 13(2) 30/7/05 Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 22 6. 16 22 7. 38 13(4) 8. 9. 38 38 13(4) 23(4)(e) The registered person must ensure; The complaints procedure includes the details of how compliants may be made to the Commission. All residents and their representatives are informed of the complaints procedure. The registered person must ensure the remaining issues in respect of the passenger lift are addressed and records are availble in the home. Timescale of 20/12/04 not met. The registered person must ensure all staff undertake training in respect of first aid. The registered person must ensure all staff undertake at least two fire drills each year and records are available in the home. 30/7/05 30/7/05 30/10/05 30/7/05 10. 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 Good Practice Recommendations Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Birmingham & Solihull Local Office 1st Floor, Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Maple Dene E54_S16913_MapleDene_V235914_270605- UI stage 4.doc Version 1.40 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!