Inspection on 20/12/06 for Queensmount

This inspection was carried out on 20th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Queensmount 17/08/09

Queensmount 30/08/07

Queensmount 17/11/05

Queensmount 09/06/05

Queensmount 17/02/05

Queensmount 03/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

The Garden House

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

CARE HOMES FOR OLDER PEOPLE Queensmount 18 Queens Park West Drive Bournemouth Dorset BH8 9DA Lead Inspector Gloria Ashwell Key Unannounced Inspection 11:45 20th December 2006 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 Queensmount DS0000020454.V308971.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. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Queensmount Address 18 Queens Park West Drive Bournemouth Dorset BH8 9DA 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) 01202 391144 01202 304346 www.bupa.com BUPA Care Homes (BNH) Limited Mrs Sheila Willis Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate a maximum of 43 service users who require nursing care. The home may accommodate a maximum of 3 younger adults who require nursing care (age 35 years and above). Five of the eight double sized rooms may be used as shared rooms at any one time. 17th November 2005 Date of last inspection Brief Description of the Service: Queensmount is a BUPA purpose built care home situated in a quiet residential area, overlooking a large park with a golf course. The nearest shops, post office and other local amenities such as churches are approximately three quarters of a mile from the home. A bus service is available a short walking distance from the home. Queensmount is registered to accommodate 52 residents (over 65 years of age) including up to 43 requiring nursing care. Within that number the home may accommodate a maximum of 3 adults age 35 years and above who require nursing care. There are 42 single bedooms and 5 double bedrooms; all bedrooms have ensuite hygiene facilities. Bedrooms are located throughout the 3 floors of the home; a passenger lift enables level access around the home. The 10 ground floor bedrooms are for the accommodation of service users who do not require nursing care. The home has a hairdressing salon, a shop selling small items (toiletries, confectionary, note paper etc.) and a licensed alcoholic drinks bar open during restaurant hours and additionally two evenings each week. The gardens and grounds are well tended with garden furniture available so that residents can sit outside in good weather. There is car parking space at the front of the house for use by visitors. Laundering of clothing and household linen is carried out at the home and arrangements are made for chiropodists, opticians and other health and social care professionals to visit individual residents. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 5 Fees are charged weekly; at present fees for permanent residents range between £690 and £905 per person, nightly short term care fees are between £115 and £145 per person. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1-A65A7AFD347B/0/oft780.pdf It is the usual practice for reports to contain only the names of registered persons, i.e. the registered manager, but at the specific request of the provider organization, and with the written consent of the individual, the name of Head of Care Elizabeth Shacklady has been included in this report. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a statutory inspection required in accordance with the Care Standards Act 2000. The inspection was unannounced; the inspector toured the premises and spoke to residents and staff and registered manager Mrs Willis. The duration of the inspection was 4.5 hours. The inspector observed staff interaction with residents and the carrying out of routine tasks. At present 39 permanent residents are accommodated at Queensmount. During the inspection, particular residents were ‘case tracked’; for example, for evidence regarding Standards 3, 7 and 8, records relating to the same resident were examined and the resident spoken with. Additional information used to inform the inspection process included the monthly reports regularly sent to the Commission by the provider and the Preinspection Questionnaire completed in advance of the inspection by Mrs Willis. Since the previous inspection a number of completed Comment Cards were sent to the Commission: 27 from residents, 22 from the relatives of residents and 8 from local doctors. All comments indicated satisfaction with Queensmount; a number were very positive and one observed “It’s absolutely wonderful”. During this inspection compliance with all key standards of the National Minimum Standards was assessed. What the service does well: People considering moving into Queensmount receive a full assessment and are provided with the opportunity to visit and spend time at the home to make sure that it is able to meet their needs. Residents are offered a menu that provides a varied and well balanced diet that is served in pleasant surroundings. A menu to order breakfast, lunch and supper is provided for the following day. Further choice is also available if the items on the menu are not suitable. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 7 On the day of inspection the home was very clean, of comfortable temperature and adequately staffed. The home is well equipped, attractively decorated and suitably furnished. The standard of care is good and each resident has a documented plan of care. Staff are enthusiastic, competent and receive training. Residents are very satisfied with Queensmount. Comments received by the Commission in advance of the inspection included “I had already stayed in Queensmount a year and have returned, finding it the BEST!”. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 8 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 Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 3 (The home does not provide intermediate care so Standard 6 does not apply) Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Prospective residents (or their representatives) are provided with information about Queensmount and are encouraged to visit in advance of admission to establish their impressions of life at the home and the standard of available accommodation. Prior to admission, the needs of each proposed resident are assessed and the home then writes to prospective residents confirming the ability to properly care for them. EVIDENCE: The records of a recently admitted resident included details of pre-admission assessment which had been carried out by the Head of Care Elizabeth Shacklady when she visited the prospective resident at her private address. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 10 In advance of making the decision to enter the home the prospective resident visited Queensmount to view the premises and meet residents and staff and later a close relative also visited. Initially this resident was admitted for a period of respite care and during this time made the decision to remain permanently at Queensmount. The inspector spoke to the resident who confirmed satisfaction with the home and said “It’s absolutely wonderful…..and Elizabeth (the Head of Care) and Sheila (the registered manager) are so caring”. Comments received by the Commission in advance of the inspection included “I had already stayed in Queensmount a year and have returned, finding it the BEST!”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good but minor improvements should be made to standards of wound detail recording. This judgment has been made using available evidence including a visit to the service. The standard of care is good and in accordance with a written plan of care for each resident ensuring that staff have sufficient information upon which to base their care practice. Residents health needs are fully met and periodic audit of accidents is recorded to minimise risks of recurrence. Medicines prescribed by doctors are safely stored and carefully administered to residents by staff trained in this work, thereby protecting residents from medicine errors. Residents receive prescribed medicines at the correct times and in correct amounts. Residents wishing to do so can manage their own medicines. Residents are treated with respect and their privacy and dignity is protected at all times. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 12 EVIDENCE: Residents believe they are properly cared for; comments received by the Commission in advance of the inspection included “Everything is excellent and I would recommend to anyone in the future”, “A very caring home”, “I have never been unhappy here”, “I cannot fault this home – all our needs are catered for” and “whenever I visit X always seems content and I am satisfied is very well looked after”. The relatives/representatives of residents feel they are appropriately notified of changes in the resident’s condition; one stated “The home keeps me well informed of any situations that arise”. A doctor wrote stating that the home is “One of the better homes in the town”. Care records of 4 residents were examined and contained risk assessments forming the basis for care plans and daily records describing the care of each resident. To ensure correct identification of residents, records contain a recent photograph of each resident. The care records of a resident (accommodated to receive nursing care) included minimal detail of a wound currently receiving treatment, so nursing staff may not have clear up to date guidance on the care they are to give and the progress of the wound. Records are kept of all accidents including details of investigation and the home has implemented an accident policy and procedure to minimise the risk of accidents and there reoccurrence. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts those wishing to do so can manage their own medicines in accord with a risk assessment process; some of the currently accommodated residents manage their own medicines. For all other residents the handling of medicines is carried out by staff trained in this work. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner. During the inspection a resident stated that Queensmount provides “value for money…..and things you can’t put a price on”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is very good. This judgment has been made using available evidence including a visit to the service. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Meals are appetising and of good quantity and quality. Most residents take meals in the large dining room on the ground floor; others receive them in their bedrooms. EVIDENCE: The inspector spoke to a number of residents; all indicated satisfaction with the home, including the range of activities, meal provision, staff and premises. The home employs 3 Activities Organisers (between them working a total of 59 hours each week) who arrange visiting entertainers, one-to-one and small Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 14 group social and recreational activities. There is a daily programme of activities. Visitors are welcome at any time and in written responses made to the Commission in advance of the inspection confirmed they are always made to feel welcome and placed at ease by the staff; comments included “X enjoys activities organised by the home and is always praising the food.” Written comments received from residents included “They will always provide something I like if I have chosen the wrong menu!” and “Generally a high standard of care, food and activities in a pleasant environment”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 16 & 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. The complaints procedure provides information on the procedure to follow to persons wishing to make complaint; all complaints are recorded and properly investigated. The home protects residents from harm and abuse. EVIDENCE: Residents feel confident that if they had concerns or complaints they will be listened to and taken seriously. Written responses made to the Commission in advance of the inspection included “I would always feel happy to speak to Sheila (registered manager) or Elizabeth (Head of Care)”. To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is provided to each residents’ relative/representative. Residents know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. Comments received during the inspection included “I’ve never had a complaint”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 16 The home keeps records of all complaints received and investigated. Since the previous inspection the home has received 2 complaints from a local householder annoyed at the early hour at which waste bins were emptied by visiting contractors; the manager of Queensmount has resolved this situation by ensuring the bins are emptied at a later hour. The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and provides all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19 & 26 Quality in this outcome area is very good. This judgment has been made using available evidence including a visit to the service. Queensmount is a well-appointed and comfortable home. On the day of inspection the home was clean, pleasant and hygienic and there was evidence indicating that this is the usual standard of provision. EVIDENCE: Queensmount is a spacious home, with good sized bedrooms, bathrooms equipped for the use of persons requiring assistance and attractive communal rooms. The home is clean, tidy and comfortable throughout; there were no unpleasant odours. There is an ongoing programme of redecoration to ensure the high standards are maintained; during 2005 the second floor was redecorated. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 18 In written responses made to the Commission in advance of the inspection there was evidence that this is the usual high standard; comments included “Doesn’t smell and kept clean as possible”, “They know I like fresh air and make sure the window is open” and “Excellent conditions throughout – above expectation”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is very good. This judgment has been made using available evidence including a visit to the service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: Trained nurses lead the care teams and at all times the home is in the overall charge of an experienced nurse. Staffing levels are provided in accordance with the assessed needs of residents to ensure that at all times sufficient staff are available to properly meet their needs. Comments received by the Commission in advance of the inspection included “They are all extremely kind”, “The staff are always helpful and welcoming” and ”They are doing a good job”. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 20 From information provided to the Commission by the home in advance of the inspection there was evidence that the home provides staffing hours in accord with the Staffing Forum calculation. Staff are enthusiastic about their work and feel they provide a good standard of care to residents and are properly supported by the management and training provision. The records of 2 recently employed staff members were examined and found to contain all essential information including two written references, an interview assessment, health details, evidence of identity and of induction training. At present 42 of the care staff currently employed by the home hold a National Vocational Qualification in care and 4 others are training for this award; the home will thereby soon meet the standard for at least 50 of the care staff to hold an NVQ in care. The provider organisation has an enthusiastic approach to staff training; recent topics have included Protection of Vulnerable Adults, First Aid, moving and handling, infection control and fire safety training. To further assist the training of care staff there is available a range of opportunities including www.picbdp.co.uk (the Partners in Care web site), www.skillsforcare.org.uk (the Skills for Care web site), www.traintogain.gov.uk (a programme and funding stream supported by the Learning and Skills Council and Business Link) and www.lsc.gov.uk/bdp/employer/eggt_intro.htm (the Employer Guide to Training website, which is aimed at assisting employers to choose the most suitable training provider to meet their workforce needs by the use of a search facility). Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is very good. This judgment has been made using available evidence including a visit to the service. The home is well managed and staff understand their work and receive training appropriate to their needs. Residents and their representatives are satisfied with the home and feel staff care for them well and put them at their ease. The home has implemented a quality assurance system to ensure that residents remain satisfied with all aspects of the home. The home does not manage the finances of residents. The premises and equipment are properly maintained in good condition. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 22 EVIDENCE: Mrs Sheila Willis is an experienced nurse and manager and demonstrated high degrees of competency in both aspects throughout the inspection; she is supported by Elizabeth Shacklady, the home’s enthusiastic and experienced Head of Care, who is also a trained nurse. The home has ongoing systems for quality assurance; satisfaction survey are periodically issued and occasional meetings for residents and their relatives takes place. The home is accredited for ‘Investors in People’ and has implemented the ‘Personal Best’ programme developed by the provider organisation. To ensure continuity of approach the home operates in accord with an extensive selection of clear and appropriate policy and procedure documents, including those for care provision, management and the premises. The home does not manage the finances of residents; residents who are unable to undertake this responsibility personally have nominated relatives, friends or other representatives to do this on their behalf. Staff trained in First Aid and health care are on duty in the home at all times. The premises are well maintained and there are regular checks/tests of all equipment. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Minor improvements should be made to standards of wound detail recording. Queensmount DS0000020454.V308971.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Queensmount DS0000020454.V308971.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!