Inspection on 24/06/05 for Mary Feilding Guild

This inspection was carried out on 24th 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 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

Mary Feilding Guild 02/10/06

Mary Feilding Guild 27/01/06

Mary Feilding Guild 11/10/04

Mary Feilding Guild 04/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Mary Feilding Guild 103-107 North Hill Highgate London N6 4DP Lead Inspector Teferi Degeneh Announced 20 & 24 June 2005 @ 09:30 am 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. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Mary Feilding Guild Address 103-107 North Hill, Highgate, London, N6 4DP 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) 020 8340 3915 020 8341 0295 Mrs Anita Morgan for Mary Feilding Guild Ms Miriam Isherwood PC - Care Home 47 beds Category(ies) of OP - Old age registration, with number of places Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11 October 2004 Brief Description of the Service: Mary Feilding Guild is a care home registered to provide accommodation for 47 people over the age of 65. The home’s brochure states that the service dates back to 1877, but has undergone many changes since 1985. The home is located in Highgate, North London, within easy access to local shops, churches, health centres and public transport. The home consists of two interconnected buildings, a large Edwardian house and a more modern house. The majority of the rooms have en-suite and kitchenette facilities. The rest will have en suite facilities added once they become vacant. The home also provides several bathrooms, shower rooms and toilet facilities. The communal areas consist of a large dining area, three sitting rooms, one of which is a large library room, an activity/meeting room and alcove seating areas along the corridors with views of the surrounding gardens. The home provides a laundry room and fully equipped kitchen on each floor. The manager’s office area and the home’s main offices are situated in the basement. There are well looked after gardens in front and at the back of the building. A new summerhouse has been recently built as an additional facility for service users. The home is fully accessible to people with a mobility difficulty. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by the CSCI pharmacist inspector and by the lead inspector on 20th and 24th June 2005. The inspections were based on assessments of the documents, staff and service users’ files, medical records, rotas, the policies and procedures of the home. Discussions with the registered person, service users, staff and visitors have also been used as part of this inspection. The inspectors also had a guided tour of the premises including service users’ bedrooms. The pre-inspection questionnaire and the feedback cards completed by service users and relatives have been used as an important tool of gathering information for this inspection. Towards the end of the inspection, oral feedback was given to the registered manager and the provider highlighting positive aspects of the home and areas where improvements are required. What the service does well: What has improved since the last inspection? What they could do better: Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 6 The system for recording and storing medicines need to be improved. The registered person must ensure that the temperature of the area where medicines are kept is maintained at below 25oC. The number of recorded incidents and falls is very high and action needs to be taken to reduce the incidents and the falls and to minimise the risk to service users. Certificates need to be kept at the home to show that the boilers have been serviced. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 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 Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 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) 3, and 4 New service users are confident that their admission is based on the outcome of their assessments and on the suitability of the home to meet their needs. However, service users are not sure if the category of registration of the home is up-to-date and accurate and if the home has appropriate services and facilities to meet their changing needs. EVIDENCE: Four files of people recently admitted to the home were assessed and showed that the people had completed self assessment forms as part of their application to be accommodated at the home. It was evident from the files that the home has also completed assessments and care plans for all newly admitted people. A number of people who live at the home were spoken to and confirmed that they had visited the home before admission and they are satisfied that their needs are met. One person who lives at the home wrote: “My decision to move here [to Mary Feilding Guild] was one of the best I have ever made”. The registered person stated in the pre-inspection questionnaire that two of the people currently accommodated at the home have a diagnosis of dementia. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 9 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, and 10 Even though the home has made remarkable progress in reviewing care plans, monitoring incidents and providing health care, service users are still at risk of falling and hurting themselves. Service users’ health and safety are also put at risk because of poor storage and recording of medication. The staff, facilities and arrangements available at this home are good and service users are satisfied that they are treated with respect and their privacy is ensured. EVIDENCE: A number of service users’ files were assessed. It was evident that the home has invested necessary resources to upgrade the filing system to make it more accessible and user-friendly. Each service user has a detailed service plan including areas of needs such as social, physical, psychological and health. It was clear from the assessed files that service plans are reviewed by the staff and are up-to-date. The registered person and the Head of Care confirmed that service users are referred to the health professionals as and when needed. All service users have their own general practitioners. Two doctors were on a routine visit on the day of the inspection. In a discussion, the doctors said that service users who are unable to visit surgeries are visited at the home for regular checks. All service users have risk assessments in their files. Forty-five incidents and accidents have been recorded since the last inspection. Records Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 10 seen at the home and discussions with the registered person indicated that a lot of efforts have been made to reduce the number of incidents, particularly falls in the home. These included, making referrals to an occupational therapist, completing risk assessments, arranging exercise classes, providing call alarms in rooms, monitoring and reviewing falls every week. Medicines are supplied by the pharmacist in bottles and containers. The ordering of the medication has been synchronised for most service users so that it takes place at a specific time in the month. Copies of the prescriptions are kept in the home. The medicines’ policy is complete; disguising of medication is not to be used in the home. All the service users who are selfmedicating have a formal risk assessment carried out to ensure that they are capable of administering their own medicines. A list of current medication was kept. Some service users take entire control of the ordering and administration of their medication. The service user signs an agreement form. Each room has a lockable space. The monthly receipt of repeat medication is signed in on the administration charts but medication received during the month is not signed in on the chart. Also medication carried forward from the previous month is not stated on medicines’ administration charts. Medication profiles are being produced by the manager but these are not in place for all service users. The area where medication is stored often reaches a temperature above 25oC during the summer months. Medication training of a suitable standard took place for all staff who administer medication last year. The receipt, administration and disposal of Controlled Drugs are recorded in a Controlled Drug register. Discussion with the visiting doctors indicated that service users are seen privately in their bedrooms. Laundry and utility facilities are provided for people to wash and iron their clothes with minimal support. Each room have telephones to be used by service users. Rooms are also connected to the front doors so that visitors are identified by service users before they are let in. Discussion with the people who live at the home showed that the home has provided bedroom and front door keys. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 11 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, and 15 There are a wide range of activities and facilities available and service users’ social and leisure needs are met. The management quality and the standard of the premises are high. These have enabled service users to control their lives and to maintain contact with families and friends without restrictions. The opportunities available to service users to choose or prepare meals at this home are exemplary. Service users are confident that the quality, quantity and presentation of the meals can meet their need. EVIDENCE: Those service users who choose to make their own breakfast and supper are able to do so in the kitchenettes provided in each bedroom. A programme of activities has been displayed. Many of the people who live at this home are able to travel independently to shops, libraries, appointments and places of interest. Many people said in discussions that they frequently go out with friends and relatives. On the day of the inspection all service users were observed being engaged in one or another activity. Some were seen socialising in small groups while others were seen doing various things such as reading books and newspapers or watching television programmes. None of the people seen on the day of this inspection looked bored. Twenty-six feedback cards, which were completed by relatives and returned to the CSCI inspector, showed that relatives were able to see service users in Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 12 private whenever they visited. A separate bedroom and washing facilities are provided for visitors who come from faraway places and who wanted to stay overnight. Service users said they are able to use telephones from their bedrooms to talk to friends and relatives. Service users are able to arrange and have meals together with their guests. On the day of the inspection two relatives were observed having lunch with a service user. The majority of the service users who completed the feedback cards stated that they liked the food. A small number of service users said they liked the food sometimes. All service users who were interviewed said the food is good. As mentioned earlier a number of service users are able to make breakfast and supper in the kitchenette in their rooms. Four weekly rotating menus are developed in consultation with the people who live at the home. The dining room was clean and there was a friendly atmosphere all around. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 13 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 and 18 The systems for complaints procedure and the protection of vulnerable people from abuse are satisfactory. Service users and relatives are reassured and feel protected by their knowledge of the home’s policies and procedures on complaints and the protection of vulnerable adults from abuse. EVIDENCE: All service users who completed the feedback cards confirmed that they know who to speak to if they are unhappy with their care. An assessment of the home’s complaints book showed that all complaints are recorded and appropriately investigated. There are satisfactory policies and procedures on elder abuse. The registered manager has received a copy of the Haringey Council’s policy and procedures of the protection of vulnerable people from abuse. It was evident from the files and discussions that the staff have attended training on abuse. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 14 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 and 26 The standard of the environment and the facilities available within this home are good providing service users with an attractive, safe and homely place to live in. EVIDENCE: Laundry and washing facilities are provided on each floor. Large items such as bed linens and curtains are sent out for washing and cleaning. A number of domestic assistants are employed to clean communal areas and, as appropriate, to help service users with the cleaning of their bedrooms. Adequate facilities are provided throughout the home for ensuring the health and safety of service users. A number of service users and relatives commented in the feedback cards that they were more than satisfied with the atmosphere and the physical comfort provided to the people who live there. The home is located in a residential area within easy access to local shops, churches, health centres and public transport. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 15 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, 29, and 30 The home has satisfactory recruitment procedures ensuring that the needs of service users are met. Improvements have been made since the last inspection to provide adequate number of staff with appropriate training and skills to meet the service users’ needs. EVIDENCE: At the last inspection the registered person was required to review the staffing level and ensure that there are sufficient staff on shift to meet the needs of the service users. The registered person said a new domestic assistance has been employed and arrangements have been put in place to provide extra staffing in the evenings and when necessary. Some relatives and service users stated in feedback cards that they are unsure who is responsible for running the home on weekends. In reply to this the registered person said there are senior care staff with a responsibility to lead shifts on weekends. The registered person said that managers could also be contacted for advice and guidance on weekends. The rota, which was available for inspection, showed that staffing level varied between hours and this was to reflect the needs of service users. Three care staff who were spoken to demonstrated good knowledge and experience of providing care to older people in a care home. A number of relatives and service users who completed feedback cards were positive about the staff. For example, one respondent wrote: “A really caring home with dedicated staff”. Another person stated: “Staff at MFG [Mary Feilding Guild] and atmosphere in MFG are excellent. [Service user] very happy at MFG”. A discussion with the registered person confirmed that all staff have satisfactory CRB checks and two written references. Five staff files, which were assessed, showed that written references and satisfactory CRB checks had been obtained Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 16 before the staff started work. The home’s recruitment policy states: “Appointments will not be confirmed, nor starting date set, until satisfactory replies have been received from referees and the Criminal Record Bureau”. The staff spoken to and the registered person said all staff receive induction when they start work. It was evident from discussions with the staff and the assessment of records that the staff have attended training in fire safety, manual handling, elder abuse, incontinence, and care practice. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 17 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) 33, 35, and 38 The facilities and existing financial operational systems of the home have given service users full confidence in bringing valuables to the home and in using their money. The system of quality assurance is satisfactory and service users are reassured that their views are actively sought and their comments are taken on board by the registered person. Precautionary measures have been taken in providing and maintaining appropriate facilities and equipment. Despite all these precautionary measures, service users are not reassured of their safety due to lack of a certificate confirming the gas boilers are serviced. EVIDENCE: Discussions with the visitors and people who live at the home and feedback cards completed by relatives indicated that the home is well run and service users’ views are listened to. For example, one relative wrote in a feedback card: “The Guild is excellently managed”. As requested at the last inspection the manager has implemented a system of quality assurance for the home. It was evident from discussions with the manager and the records of the home that satisfaction questionnaires have been completed by the stakeholders. A Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 18 plan of action based on the outcome of the survey has been developed and feedback given to the stakeholders. People who live at the home are provided with keys to their bedrooms and the front door. Secure facilities are provided in bedrooms for safekeeping of personal items. From observations it was clear that the people who live at the home are able to bring personal possessions including furniture, books and electrical items such as television sets or radios. The people’s finances are managed by themselves or by their relatives. Five of the thirty-nine currently living at the home are subject to Power of Attorney. The home keeps a small amount of cash for some service users for incidental expenses. The records and receipts of the service users’ money kept at the home were in order. Appropriate facilities and equipment are provided to ensure the health and safety of the people who live at the home. Records and certificates showed that emergency lights, fire alarms, fire extinguishers, hoists and lifts have been tested or serviced. The registered person said the gas boilers were serviced on 22/2/04. However, certificates were not available to confirm that the boilers were serviced. Authorities from the fire safety and the environmental health have visited the home and their recommendations have been satisfactorily acted upon. The home keeps records of all incidents and accidents. Since the last inspection forty-five incidents/accidents have been recorded. Most of these incidents involved fall in bedrooms. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 2 Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 20 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 4 Regulation Requirement Timescale for action 31/8/05 2. 8 3. 9 4. 9 9(1)(2)(3) The registered person must apply to the CSCI for a variation of conditions of registration in respect of the two service users with dementia. Assessmensts and care plans of the service users must be submitted with the application form. 12(1); The registered person must 13(1); ensure that appropriate 17; 26 arrangements are in place for the prevention of falls and care of service users who are prone to frequent falls. The registered person must update the CSCI Inspector regading the number of falls on a monthly basis. 13(2) The registered person must ensure that all medication received is signed in on the MAR charts and any medication carried forward to another month must be noted on the subsequent MAR chart as medication carried forward from the initial date of receipt. 13(2) The registered person must ensure that the area where medication is stored is maintained at 25 degree Celcius or below. G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc 31/7/05 31/7/05 31/7/05 Mary Feilding Guild Version 1.20 Page 21 5. 38 23(2); 17 The registered person must forward a copy of the gas boilers certificate to the CSCI Inspector. 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 30 Good Practice Recommendations The registered person should make clear to service users and relatives the management arrangement of the home on weekends. Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road, Southgate, London, N14 6HA 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 Mary Feilding Guild G59 S10712 Mary Feilding Guild V221496 24.06.05 Stage 4.doc Version 1.20 Page 23 - 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!