Inspection on 31/07/06 for Park Lodge (45)

This inspection was carried out on 31st July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge (45) 15/04/09

Park Lodge (45) 08/05/07

Park Lodge (45) 20/02/06

Park Lodge (45) 10/10/05

Park Lodge (45) 22/02/05

Park Lodge (45) 12/11/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Park Lodge (45) 45 Carshalton Park Road Carshalton Surrey SM5 3SP Lead Inspector James Pitts Key Unannounced 31st July 2006 10:50 Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 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 Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park Lodge (45) Address 45 Carshalton Park Road Carshalton Surrey SM5 3SP 020 8669 4252 020 8669 4252 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) Tracescent Limited Mrs Bibi Mahazabine Hoozeer Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow one specified service user in the Mental Disorder and Learning Disability service user categories to be accommodated on condition that the risk assessment for the service user is renewed at regular intervals, or sooner should the need arise. Should the service user’s care needs become such that the home is no longer able to properly meet these or their needs cause detriment to the care of other service users, the home must request that the service user be moved to a suitable alternative placement. 20th February 2006 Date of last inspection Brief Description of the Service: Park Lodge is a care home for younger adults with learning disabilities. It is situated on the Carshalton Road between Wallington and Carshalton and is on a bus route. The home is a traditional brick built detached house. It comprises eight single bedrooms. There is a lounge, an open plan kitchen/dining room, a conservatory and other facilities including toilets, 1 bathroom, 2 showers rooms, a laundry room and a small office. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place during daytime and there were five service users at home, and others were out engaging in activities. Some of the service users who live here are not able to hold voice conversations but all can make at least some of their needs known in other ways. Two of the service users spoke about what they were doing during the day and staff were observed interacting with other service users appropriately. The proprietor and one of the staff team were also involved in providing assistance during this visit. What the service does well: What has improved since the last inspection? What they could do better: The care plans should now be expanded upon further to encompass more detail about the day to day living experiences and personal development opportunities that should be offered to the service users. The minutes of the house meetings could still be better at reflecting the things that service users say and what choices they are offered about the things that change in the home. In some cases there are risk assessments that have not been reviewed for over a year and these must now be updated, as too should the health action plans that have not been reviewed for over a year. The home must also Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 6 ensure that when staff return unused medicines to the pharmacy they should ask that the pharmacist use their own stamp to show that the medication was received. The home must also confirm the validity of professional references for newly employed staff as there is little evidence that the references are being properly confirmed as being from previous employers. 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. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 The overall rating of the two standards that were examined is good. Service users and other people are told what the home does and how it will do it, and the guide for service users is presented in a clear way so that people can understand it. The service users can continue to feel confident that the home will only care for people that the staff are trained and able to care for. EVIDENCE: Service users and other people are told what the home does and how it will do it, and the guide for service users is presented in a clear way so that people can understand it. The service users can still feel confident that the home will only care for people that the staff are trained and able to care for. The home is meant to provide long term accommodation for all of the people who live here. For this reason it will be unusual for new service users to be admitted on any frequent basis. The home has had no new service users admitted for quite some time and currently has no vacancies. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 The overall rating of the five standards that were examined is adequate. The service users can feel confident that staff generally know what they need. Service users can also be assured that the staff will try their best to make sure that each person who lives at the home is allowed to live the sort of life that they choose. EVIDENCE: A total of three service user care plans were looked at in detail during this visit. The care plans continue to improve as the result of previous inspections. The care plans should now be expanded upon further to encompass more detail about the day to day living experiences and personal development opportunities that should be offered to the service users. The care plans are, however, reviewed regularly. The care plans and reviews include consultation with service users about their preferences and what can be done to help them to live their chosen way of life within acceptable boundaries. The service users and staff get together for a house meeting, usually each month. At this meeting everyone should talk about what it is like to live at the Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 10 home and about anything that has changed or needs to get better. This meeting is somewhere that everyone can also say how they are feeling about living together and to ask for the things that they want. At the previous inspection it was seen that the minutes of these meetings could get better at reflecting the things that service users say and what choices they are offered about the things that change in the home. Since that time there has been some improvement to the way in which the minutes reflect what service users have said, although these minutes could still go into further detail. The home writes a risk assessment for each of the service users. A risk assessment tells the staff how to make sure that each of the service users is kept safe from anything that might harm them. The staff are very good at doing this about very particular needs for each of the people who live here and these risk assessments also encompass more general areas of safety, for example if it is safe for particular service users to go out alone. The risk assessments are supposed to be looked at regularly to make sure that these are changed if they need to be. In some cases there are risk assessments that have not been reviewed for over a year and these must now be updated. There is a good risk assessment written about anything in the house or garden that might hurt anyone if it is not taken care of. The staff are still very good at making sure that nobody is told anything about any of the service users unless the person is allowed to know. The staff are also very good at making sure that they tell the right people about things that are happening to the people who live here. The home has a confidentiality policy that tells staff about how to make sure that they keep to this. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 The overall rating of the five standards that were examined is good. The service users can feel confident that the opportunity for each to develop and maintain personal and family relations is also offered and actively supported by the staff team. EVIDENCE: The people who come to live here stay for a very long time. The service users are supported by the staff to be as independent as possible and to make as many choices as they can. The staff are good at helping each of the service users to learn new things and to obtain new skills. All of the service users are engaged in activities each week which range from attendance at day centres, to classes at college or other activities. They also go shopping and to make use of other things in the community such as the cinema, the pub and other places of interest. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 12 The staff are very good at helping each service user to keep in contact with their families and friends. Family and Friends are made very welcome when they visit the home. There are not many rules at this home. The most important one is that no one is allowed to smoke in the house. All of the people who live here are allowed to use the entire house, except other people’s bedrooms or the office if a meeting is happening. The menus, backed up by comments that have been made by service users in house meetings, show that the people who live here are involved in choosing what meals they prefer. Suggestions are also made by staff as was seen to be the case recently when service users were asked if they would prefer salads during the very warm weather. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 The overall rating of the three standards that were examined is adequate. Service users can feel confident that they will get the right support to take care of their physical and healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens. EVIDENCE: Each service user has a care plan that tells the staff, although these could be more detailed, about the way that each service users wants to be cared for and supported and about what each person likes or does not like. All of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but most see the same one that the staff know very well and get along with. The staff are still very good at writing down anything that happens if anyone becomes unwell. If any of the service users have an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. Health action plans are written with the help of local community nurses, although these are now more than a year old and should be updated. This is a very good way of helping to make sure that everyone who lives here Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 14 can remain healthy. It should also again be noted that the staff have been trained in how to respond if one of the service users suffers from a particularly bad epileptic seizure. All of the service users need to take medicine every day and the staff are very good at making sure that this happens so that they can stay well. The fact that staff have to control these medicines has been previously agreed with the service users placing authorities. The staff are also good at making sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. The home has a local agreement for a pharmacist to provide regular advice about the handling and administration of medicines. At the previous inspection it was suggested that when staff return unused medicines to the pharmacy it would be advisable to ask the pharmacist to use their own stamp to show that the medication was received. This is still not happening and it must now occur. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The overall rating of the two standards that were examined is good. The service users can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users are given clear information about how to complain and what happens when they make a complaint. No complaints have been made to the home or to the Commission since the previous inspection. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person. The staff know what they then have to do to keep people safe. None of the service users have said that they are being hurt by anyone else. No concerns have been raised by anyone else who has contact with the home. It is also positive to note that new staff are sent on a protection of vulnerable adults training session as a part of their induction at the home. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 & 30 The overall rating of the three standards that were examined is good. The service users can feel confident that they are living in a well maintained and clean home. EVIDENCE: Staff record hot water temperature checks, although this was previously being done by checking only one or two hot water taps weekly, when in fact all must be checked. The home now checks all hot water outlets. The house is kept very clean, is a warm and comfortable environment and is free of any unpleasant odours. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 The overall rating of the four standards that were examined is adequate. Service users can feel confident that there is a well trained staff team to meet their needs and that these staff are safe people to support them. However, the quality of the support that is offered by the staff team could be compromised if staff are still not supervised in an adequate way. EVIDENCE: There have been three new staff come to work at the home since the previous inspection. All three staff have had the proper background checks completed although the home must still insist that references from previous employers or other organisations are confirmed. (This may be done by the organisation stamping the reference questionnaire with their official stamp or by writing a covering letter on headed paper to the home along with the reference that is sent). The law says that half of the staff must have a proper qualification to work with adults who need support in a care home. The name of this qualification is NVQ 2. It was confirmed again at this inspection that over half of the staff team have this qualification with others either still completing the qualification or soon to start doing it. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 18 The home carries out checks to make sure that the people who work here are safe people to work with the service users. These checks include things like asking the police if a new member of staff has ever been found guilty of a crime, and asking people who used to employ them if their work was good and if they are the right sort of person to work with the service users and to support them. At an inspection in 2004 all of these checks were seen for the people who work here and no new staff have come to work here since. The home keeps records that say what training courses staff have done, and when they did them. Each year staff have an appraisal that tells them and the home how well they are doing their job. After the appraisal each member of staff is then has a personal development plan which they write with their manager. A personal development plan says thing like what the member of staff does well, what they need to improve upon and what training they need. All staff have had an appraisal in the last year. Staff supervision (this is a time that each member of staff spends talking about how they are getting along in their work) is done by the manager. Staff are supposed to meet with their manager at least 6 times a year by law. The home can show that this is happening at the required frequency. The style of supervision and the things that are discussed were again seen to still be in need of improvement. It was recommended at the previous inspection that the manager attend a training course about supervising staff in a care home setting. Since that time no progress has been made and this must now be acted upon. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The overall rating of the three standards that were examined is good. The service users can feel confident that they are living in a home that is doing more to fully consider the need for future developments. The service users can also feel confident that the necessary health and safety checks are being properly carried out. EVIDENCE: The proprietors, one of whom is also the manager of the home, have a number of years experience in running care services. The home was told at the previous annual inspection that they must introduce service user satisfaction surveys (standard 39.6) and an annual development plan (standard 39.2) that is open to the service users. The service users surveys that have been done were completed in October & November 2005 Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 20 and there is now a quality assurance system and an annual development plan in place. The following health and safety checks have been carried out within the last year: Fire Alarm System: 20/04/06 Fire Extinguishers: 03/05/06 Gas Safety Check: 06/09/05 Portable appliances: 15/09/05 Legionellosis: 02/05/06 The London Fire Brigade carried out a routine inspection visit to the home on 07/12/05. The report that resulted from that visit stated, “The premises were found to be satisfactory”. The home is generally good at making sure that the people who live and work here are kept safe from fire and other hazards, although it was recommended at the previous inspection that the that the fire alarm system be sounded and checked weekly instead of monthly. This is now being done. A hot water check is carried out weekly, although it was required at the previous inspection that these checks include all hot water outlets and not just a small number of them. This is also now being done and a record of these checks was seen at this inspection that showed that hot water is being kept within a safe temperature range. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X 3 X 3 X X 3 X Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 22 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 YA6 Regulation 15 (2) (b) Requirement The care plans should now be expanded upon further to encompass more detail about the day to day living experiences and personal development opportunities that should be offered to the service users. In some cases there are risk assessments that have not been reviewed for over a year and these must now be updated. Health action plans that are now over a year old must now be updated. At the previous inspection it was suggested that when staff return unused medicines to the pharmacy it would be advisable to ask the pharmacist to use their own stamp to show that the medication was received. This is still not happening and it must now occur. All three staff that were recently employed have had the proper background checks completed although the home must still insist that references from previous employers or other organisations are confirmed. DS0000007148.V293760.R01.S.doc Timescale for action 30/09/06 YA9 2 YA19 3 YA20 4 13 (4) (b) &(c) 13 (1) (b) 13 (2) 30/09/06 30/09/06 31/07/06 YA34 5 19 (1) ( c ) 31/07/06 Park Lodge (45) Version 5.1 Page 23 YA36 6 18 (2) (This may be done by the organisation stamping the reference questionnaire with their official stamp or by writing a covering letter on headed paper to the home along with the reference that is sent). The style of supervision and the things that are discussed were again seen to still be in need of 31/07/06 improvement. It was recommended at the previous inspection that the manager attend a training course about supervising staff in a care home setting. Since that time no progress has been made and this must now be acted upon. 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 YA8 Good Practice Recommendations The minutes of the house meetings should still get better at reflecting the things that service users say and what choices they are offered about the things that happen in the home. Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Park Lodge (45) DS0000007148.V293760.R01.S.doc Version 5.1 Page 25 - 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!