Inspection on 13/03/07 for Old Roselyon Manor

This inspection was carried out on 13th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Old Roselyon Manor 06/12/05

Old Roselyon Manor 17/08/05

Old Roselyon Manor 16/12/04

Old Roselyon Manor 12/05/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Old Roselyon Manor Old Roselyon Par Cornwall PL24 2DW Lead Inspector Alan Pitts Key Unannounced Inspection 13th March 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Roselyon Manor Address Old Roselyon Par Cornwall PL24 2DW 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) 01726 814297 01726 813757 Mr John Graham Mobbs Mrs Marine Nicole Mobbs Mr Anthony James Small Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30), Terminally ill (30) of places Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 30 adults of old age (OP) Service users to include up to 30 adults with a physical disability (PD) Service users to include up to 30 adults with a terminal illness (TI) Total number of service users not to exceed a maximum of 30 Date of last inspection 6th December 2005 Brief Description of the Service: Old Roselyon is a detached 400-year-old Manor House that was converted for nursing home use in 1973 and has subsequently been extended. The home is registered to provide care with nursing for up to 30 service users. Service user accommodation is provided on two floors. The first floor is serviced by a stair lift. Single and double rooms are available. All rooms have washbasins and some have en-suite facilities. The property has pleasant well tended gardens and there is adequate car parking. The registered manager, Mr S. Small, has day-to-day responsibility of the home. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of approximately 5.5 hours on the 13th March 2007. The inspector met with the registered provider, staff, and residents, inspected documentation, and toured the premises. Old Roselyon is an established care home with a core of long-serving, committed staff, ensuring continuity of care for the residents. The registered provider maintains day-to-day control at the home, and oversees the care provision. The home benefits form an established reputation in the local community. Old Roselyon has more strengths than areas for improvement. There are no significant areas for improvement relating to the health and safety of people using the service or issues of poor management. The Commission for Social Care Inspection are confident the provider can manage. Where weaknesses emerge the registered provider recognises and manages them well. What the service does well: What has improved since the last inspection? The registered provider continues to invest in the fabric and fittings of the home, with more improvements planned during the course of 2007. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 3 and 6 were inspected. This judgement has been made using available evidence including a visit to this service. The registered provider has provided a statement of purpose and service user guide that details the facilities and services available within the home. The registered provider assesses all prospective residents prior to admission to ensure that the home can meet their care needs. The home does not provide intermediate care. EVIDENCE: The home has a stable staff team that are resident focused, and committed to a high standard of care provision. An appropriate Statement of Purpose and Service User Guide is in place. Residents confirmed that they feel that they have the information they need. A member of the nursing staff also confirmed that communication is one of the strengths of the home. Prospective residents and relatives are invited to the home and given appropriate information. The Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 9 records for recent admissions were inspected and the assessment process and liaison with other agencies was detailed and recorded appropriately. The registered provider has developed a comprehensive assessment form that illustrates each resident’s individual needs and how these will be met in the home. The assessment includes consultation with all necessary agencies and ward staff to consider the residents’ social and nursing needs. Care plans are thorough and demonstrate the involvement of specialist professionals as needed. Residents spoke highly with regard to the standard of care within the home. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 7, 8, 9, and 10 were inspected. This judgement has been made using available evidence including a visit to this service. The health care needs of residents are met, with evidence of multi-disciplinary working taking place on a regular basis. Each resident has a plan of care, which describes their care needs and the interventions necessary in order to maintain or improve the residents’ wellbeing. The home operates an appropriate medication policy, and staff adhere to this. Residents confirmed that staff respect them and their right to privacy. EVIDENCE: Each resident has a care plan. The home has effective systems in place to ensure the care plan is reviewed and updated monthly and arranges additional reviews when changes take place. As discussed at the time of the inspection there is still room for improvement in involving residents in their care plan review. The care plan is used as a working tool and is understood by all staff. It is written in clear language and can be used by people who may not be Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 11 familiar with its content or the resident. Care should be taken to ensure that where instruction is given (e.g. monitor fluids) that this is followed through. Each care plan includes a comprehensive risk assessment. Management of risk takes into account the needs of residents balanced with their aspirations for independence and choice. The staff keep up to date with training, professional research and literature. The registered provider and staff actively promote the residents’ right of access to the health and remedial services that they need, both within the home and in the community. Regular appointments are seen as important and there are systems in place to make sure residents appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. Equipment is effectively maintained, making sure it is working effectively, and each resident has the necessary aids to improve their quality of life. The home operates appropriate and efficient medication policy, procedure and practice guidance. Staff have access to the written information and understand their role and responsibilities. Medicine Administration Records were inspected and seen to be in order, and staff were observed to administer medicines in the proper manner. Medicines are properly stored and secured. There are systems in place for the ordering, receipt and disposal of medicines. The registered person routinely observes staff attitude and approach to privacy and respect and constantly seeks and values residents’ views and experiences. The registered provider has daily contact with residents in the home. Personal and nursing care is carried out with due regard to privacy and dignity, and staff were observed interacting with residents in a respectful and relaxed manner. Residents are able to accept visitors in the privacy of their own rooms, or if they wish, in one of the communal areas. Relatives are also welcome to stay overnight if they wish. Residents confirmed that the staff treat them with respect, and all felt that their right to privacy was upheld. The care documentation allows for the collection of information relating to resident’s wishes and preferences. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. National Minimum Standards 12, 13, 14, and 15 were inspected. This judgement has been made using available evidence including a visit to this service. Residents were complimentary about their lifestyle at the home. Residents exercise their choice to enjoy the privacy of their own rooms or join others in communal areas for company or meals. Residents maintain contact with visiting relatives and friends at the home. Residents were also complimentary about the quality of the food provided. EVIDENCE: Residents were complimentary about the lifestyle offered at the home and the kindness of the staff, but also said that they would like more in the way of distractions/activities (little and often). These comments are reflected in the daily care notes, which could do more to show the residents’ lifestyle as well as recording the nursing care provided. The registered provider should ensure that daily entries ‘paint a picture’ of the residents’ day as well as showing the nursing care provided. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 13 Residents’ rooms are personalised to varying degrees, and residents confirmed that they are able to exercise choice and autonomy over their own lives. The home has flexible routines that allow for personal preferences and dependency levels. Members of the local community, such as the church visit. Meals are unhurried and residents requiring assistance to eat are supported discreetly by staff. Hot and cold drinks and snacks are available at all times and offered regularly to residents. The menu does not show that a choice is available to residents, and this was confirmed by the comments of residents, “no choice, and not aware of what’s for lunch”. The registered provider should ensure that the menu demonstrates a choice being available at meals, that residents are asked for their choice, and that the record of food provided shows the choices made. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 16 and 18 were inspected. This judgement has been made using available evidence including a visit to this service. Residents confirmed that they would feel able to express any concerns or dissatisfaction should the need arise. The registered provider ensures staff have an appropriate understanding and information to protect residents from abuse. EVIDENCE: A complaints policy is in operation and is widely distributed. Neither the home nor the Commission for Social Care Inspection have received any complaints in the last 12 months. Residents confirmed that they would feel able to express any concerns or dissatisfaction should the need arise. Residents’ mail is delivered unopened, assistance is available if required or where necessary the mail is kept unopened for the residents’ representative. Residents confirmed that they have the opportunity to participate in civic processes, and there is a record of residents being registered to vote. A Protection Of Vulnerable Adults procedure is in place. The registered provider has reviewed and amended this procedure since the last inspection to ensure that it provides clear step-by-step practical instruction on what to do in the event of an allegation of abuse (with reference to county procedures) and the relevant contact information for staff. Staff are aware of this procedure, and Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 15 training is provided. The registered provider and staff are clear when an incident needs external input, and is open in discussing incidents with external bodies (CSCI, local adult protection) to clarify difficult judgements. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 19 and 26 were inspected. This judgement has been made using available evidence including a visit to this service. The home is fit for purpose. Residents’ rooms are comfortable and appropriate to their care needs. The home offers safe, clean, and comfortable surroundings. EVIDENCE: The management and staff encourage residents to see the home as their own home. The environment provides a very well maintained, safe, comfortable, attractive home, which has all the specialist equipment and adaptations needed to meet individual resident’s needs. There is a selection of communal areas, according to the numbers of residents, this means that residents have a choice of place to sit quietly, meet with family and friends or be actively engaged with other residents. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 17 Residents’ rooms are personalised to varying degrees. The home provides furnished accommodation, but residents may choose to bring items of furniture and belongings to personalise their rooms. Reclining chairs are provided in all rooms. Heating, lighting and ventilation within the home is flexible and appropriate. Radiators are guarded and water temperatures are regulated. The home has a refurbishment and development plan, and a number of improvements have been made in keeping with this since the last inspection: • 25 new recliner chairs • 2 new hoists • a new storage facility • a new boiler system • a new tracking system at the top of the stairs, to assist with transfers to and from the stairlift • 3 new Squirrel mattresses • 1 new Parker bath The home has an infection control procedure. Laundry facilities are located separate from the home and appliances are commercial in nature. Protective clothing is available and used by staff. The home is clean and free from offensive odours. The home provides a sluice on each floor level, personal laundry is provided for by the in-house equipment and bed linen is provided for through an external contractor. Call bells were seen to be left within reach of residents and these are responded to promptly. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. National Minimum Standards 27, 28, 29, and 30 were inspected. This judgement has been made using available evidence including a visit to this service. Care staff have a good understanding of residents’ support needs and sufficient, competent, staffing are provided to meet these needs. The home enjoys a good reputation and the registered provider is aware that this is largely dependent on the home’s effective and robust staff selection procedure. EVIDENCE: The home is supported by a stable team of staff, sufficient in numbers and skill mix to meet the needs of the residents. In addition to the registered provider there is usually 1 qualified nurse and 5 care assistants per shift throughout the day. At night there is 1 waking qualified nurse and 1 waking care assistant. All staff left in charge of the home are at least 21 years of age. Staff were observed to be busy, but not unnecessarily so, and were observed to have the time to chat with residents and generally ‘pass the time’ with them whilst carrying out their duties. The home is organised and functions to provide for the welfare of residents. Residents spoken with expressed approval of the attitude of care staff, they did not have to wait for attention from staff, and they felt safe at the home. One resident went so far as to say he “admires the registered provider” and “the Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 19 registered provider has picked all the best people (staff)”. The home has an effective and robust recruitment policy and procedure. All prospective staff fill in an application form and attend an interview prior to appointment. All staff are issued with a statement of terms and conditions and a copy of the General Social Care code of conduct and practice. Enhanced Criminal Records Bureau checks are completed for all staff. The home has a comprehensive ‘in-house’ induction package and the registered provider presents short training sessions to staff on a regular basis. The registered provider is aware of the need to use an National Training Organisation compliant induction programme, and this is in use with one new staff member. The last 2 carers at the home without an NVQ qualification commence this training in April of this year. There are 29 carers employed at the home, of which 27 have achieved NVQ Level 2 or above. There is regular, almost daily, in-house training provided, and a record of attendance and content is kept for these sessions. Staff confirmed that training opportunities are provided, one nurse having a course booked for April 2007. The registered provider has daily contact with the staff. The home operates with comprehensive policies and procedures, which are regularly reviewed. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. National Minimum Standards 31, 33, 35, and 38 were inspected. This judgement has been made using available evidence including a visit to this service. The registered provider is providing clear and effective leadership and management to maintain a safe and comfortable home for service users. The home could do more to obtain the feedback of residents and others. The registered provider protects residents financial interests. EVIDENCE: The registered provider is a registered nurse who has achieved NVQ level 4 in care and management. Mr Small has extensive experience of managing a home. The registered provider is open and approachable and communicates a clear sense of direction and leadership, having daily contact with the residents and staff. There are clear lines of accountability within the home. Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 21 Although the home has, in the past, made use of quality assurance questionnaires, this practice has lapsed. The registered provider must seek the views/feedback of residents, their representatives, and other people who have involvement with the home (e.g. GP, CPN), analyse the responses, take any action where necessary, and publish a summary of the findings (possibly in the home’s service user guide). The home has established, secure, financial procedures. The registered provider has no involvement in residents finances at all, preferring to invoice for costs retrospectively with relevant receipts. The registered provider will hold only small amounts in safe keeping (usually brought in by relatives) for which there are accurate records. Staff are regularly observed carrying out various aspects of their duties, and these observations are recorded. There is an annual staff appraisal programme, and supervision provided though there have been individual lapses. The registered provider should ensure that staff continue to receive recorded supervision at regular and frequent intervals. The registered provider keeps detailed and efficient records securely. Appropriate policies and procedures are in operation. Appropriate maintenance and safety checks are carried out by contractors, and safety related training is provided for staff (e.g. fire training). Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 2 X 3 3 X 3 Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP33 Regulation 24 Requirement The registered provider must seek the views/feedback of residents, their representatives, and other people who have involvement with the home (e.g. GP, CPN), analyse the responses, take any action where necessary, and publish a summary of the findings (possibly in the home’s service user guide). Timescale for action 01/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP12 OP15 Good Practice Recommendations The registered provider should ensure that daily entries ‘paint a picture’ of the residents’ day as well as showing the nursing care provided. The registered provider should ensure that the menu demonstrates a choice being available at meals, that residents are asked for their choice, and that the record of food provided shows the choices made. DS0000009200.V332556.R01.S.doc Version 5.2 Page 24 Old Roselyon Manor Old Roselyon Manor DS0000009200.V332556.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Old Roselyon Manor DS0000009200.V332556.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!