Inspection on 28/12/06 for Stonehill House

This inspection was carried out on 28th December 2006.

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

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

Other inspections for this house

Stonehill House 10/07/07

Stonehill House 22/02/06

Stonehill House 21/11/05

Stonehill House 10/02/05

Stonehill House 26/10/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Stonehill House 106 Churchway Haddenham Bucks HP17 8DT Lead Inspector Ruth Lough Unannounced Inspection 10:00 28 December 2006 th 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 DS0000023025.V320636.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. DS0000023025.V320636.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stonehill House Address 106 Churchway Haddenham Bucks HP17 8DT 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) 01844 290028 abbeyfield.haddenhamsocietyltd@btinternet.com The Abbeyfield (Haddenham) Society Limited Mrs Lindsey McGibbon Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places DS0000023025.V320636.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Stonehill House is a residential care home, which is owned and managed by the Haddenham Abbeyfield Society, a charitable organisation that is part of the National Abbeyfield Society. It is registered to provide residential care for up to 11 elderly people over 60 years of age. The home is situated in a residential area in the village of Haddenham and is close to local amenities, which include shops, a library, pharmacy dental practice and health centre. Transport links are available to the towns of Aylesbury and Thame, as well as Oxford City. Stonehill House offers accommodation within a converted and extended home similar in style to nearby properties. The fees for the home range from £ 1781.86 to £2035.94. Service users are charged additionally for hairdressing, chiropody, newspapers should they wish to have. DS0000023025.V320636.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit that took place over one day. The inspection included a review of information provided by the home and service user surveys returned prior to the visit. Seven service user questionnaires were returned to the commission. The documents and records that were available on the day were used as part of the information gathering. Service users opinions of the service were also obtained during the day visit. Discussion with and observation of the management and care staff was also included. General comments about the home from service users and relatives were “My mother likes Abbeyfield. It is well run, clean and friendly. It is also a very a homely place. We particularly appreciate the support given by the chairman and House Manager” “It’s the ideal place to be, can’t find any fault” “I was perfectly satisfied all the staff most helpful, thank you” What the service does well: What has improved since the last inspection? What they could do better: DS0000023025.V320636.R01.S.doc Version 5.2 Page 6 They need to improve how they provide written instruction for staff to use to support service users and meet their needs. The records for the recruitment process of staff should support that the employees full work history has been taken and any gaps have been explored. The records should also provide evidence of the induction process that staff have undertaken when they commenced working at the home. 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. DS0000023025.V320636.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 DS0000023025.V320636.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): 3, standard 6 is not applicable to the home. Quality in this outcome area is good. The service users needs are assessed appropriately by the home before they are admitted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plan records of 2 service users were reviewed. One service users had been admitted since the last inspection visit the other had been in the home for nearly 2 years. The documents supported that service users are assessed by the manager prior to admission who also uses information from any referring social services or health care professionals. The assessment includes information of the service users mobility, risk of falls, skin condition and the service user preferences for diet. Service users GP’s are requested to complete a medical questionnaire including information of their medication taken. DS0000023025.V320636.R01.S.doc Version 5.2 Page 9 Service users are asked to complete a financial assessment prior to acceptance of a place in the home. The service users are offered the opportunity to visit the home before they make the final decision to live there. DS0000023025.V320636.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): 7,8,9 and 10 Quality in this outcome area is adequate. The records do not support that the service users needs are met or how the staff are to achieve this. The service users are assisted to obtain medical care when they need it. The home has suitable structures in place to ensure that the service users medications are stored and administered safely. These judgements have been made using available evidence including a visit to this service. EVIDENCE: Service uses and relatives confirmed in the survey questionnaire and during the visit that they were very satisfied that their care needs are met. One relative stated “My mother and I are very appreciative of the care she receives at Abbeyfield, Haddenham. The manager and staff are always willing to help DS0000023025.V320636.R01.S.doc Version 5.2 Page 11 and give my mother support when she becomes confused and disorientated. She also likes the food!” A service user said “fully satisfied, thank you” Two service users care plans were reviewed. The plans are kept in individual files in a secure cupboard in the locked office. A member of the care staff stated that any significant information for the day is recorded in the homes diary for staff to read. The staff do record the outcomes of the day in the care plans well. The identified needs of the service users are recorded in the care plans, but there is not information of how these are to be met or how the staff are to support the service users to achieve these. They do have risk assessment tools for service users skin, moving and handling and falls but what is not recorded is when these were done or when they are to be reviewed. The staff spend time with the individual or the family to record personal history. The records supported that the staff have ensured that service users are assisted to obtain any external healthcare such as dentist, opticians and audiology. Visiting practitioners record the outcomes of all visits in detail in the service users care notes. One service user currently has a pressure sore that is being treated by the District Nurse. They have also taken the step to seek and record service users choices for how they wish to be treated by the emergency services should they required. The home supports service users to receive the medication that they need by either assisting with medication or providing facilities for service users to self medicate. There is a risk assessment for service users who wish to self medicate and of those seen, as before with the other risk assessment tools no date recorded of when it was carried out and no planned date for review. The manager informed the inspector that there is plans for some staff to update their skills and knowledge for medication administation in the next few months. The records, policies, procedures and storage of medications were reviewed. The manager informed the inspector that they had just received a copy of the new medication policy that is not in place yet. The medications are stored in the kichen area in a lockable cupboard. The records for medication administration have been completed correctly although it could be improved with the medication charts kept separate from other documentation and a photograph of the individual included. The service users confirmed that the staff were very respectful and considerate when providing personal care and that they listened to their concerns about their changing health needs and how they felt their privacy could be compromised. The home does not have any shared accommodation and only four of the bedrooms do not have en- suites. DS0000023025.V320636.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): 12,13,14 and 15 Quality in this outcome area is good. The service users are enabled to continue with an active social life should they wish. The home offers varied and nutritional meals that service users enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some of the comments given about the activities provided in the home service user questionnaires were “My mother has very poor eyesight and she either simply cannot participate, or does not have the confidence to do so”, “good variety” and “I don’t want a lot of activities and you are not forced to join in, which I like.” The care plans were reviewed and discussions with service users indicated that there is a busy activities and social life for service users should they wish. Service users informed the inspector that they were encouraged and supported DS0000023025.V320636.R01.S.doc Version 5.2 Page 13 to continue with the activities that they enjoyed and given assisstance to attend social events such as dance demonstations, clubs,viists out and continue to receive visitors and friends. The home has enabled service users to be able to be partially independent with incorporating the facilities of a kettle, fridge and storage where they can provide hot drinks and snacks for their guests and themselves if they wish and are assessed as able. Visitors are able to take main meals with their relatives should they want to. The local churches offer communion visits and church fellowship groups which some service users like to be involved with. Other service users stated that they enjoyed the various speakers who came to the home. Service users are able to have some physical exercise through exercise classes held twice a week in the home. The service users confirmed that staff help service users to continue with making choices about their lives through how they wish to be supported in their personal care, activities and how they personalise bedrooms with their possessions. One service user stated that the staff know how I like things. All the service users are able to continue with managing their own financial affairs, some with the support of their families. The home provides service users with a front door key and they are able to leave the home as they wish but need to inform the staff when they do so. Each service user is given a key to their bedroom and personal pendant to summon assistance whilst in the home. The service users were very complimentary about the meals and the standard of cooking that is provided. They enjoy a selection of choice of meals at each mealtime that is a mixture of traditional english fare. The service users are asked to choose from a weekly menu plan, however if they wish to change their selection the staff will accommodate them. The midday and evening meal is taken in the dining room and service users are able to have their breakfast and in their rooms. The meal time in the dining room is a sociable affair with service users sitting in small groups and giving them the opportunity to talk. Service users are able to have snacks or hot drinks in between mealtimes should they want them. Service users did state that they enjoyed the daily coffee in the morning where they all meet together. The menu plan is changed weekly with service users opinion sought on a daily basis by staff. DS0000023025.V320636.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 good. The service users concerns are listened to and acted upon and they are protected by the training provided to staff and the strategies in place to protect them from possible harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users were complimentary about the staff and how they responded to concerns. Two comments to the question ‘ Do staff listen and act upon what you say?, one said “Always” and another was “fully satisfied.” Service users confirmed that they knew who to speak to if they had concerns and that they were confident that they would be listened to. The home has not received any complaints since the last inspection process. The service users are given a summary of the complaints process in the the Statement of Purpose and Service Users Guide. The home does not have a formal system of recording or monitoring minor concerns if expressed by service users or visitors. They do leave a book in the front hall for service users and visitors to record their comments should they wish. Service users did comment that staff are very quick and responsive if they felt unhappy. DS0000023025.V320636.R01.S.doc Version 5.2 Page 15 The staff are provided with sufficient knowledge about protecting service users from possible abuse or harm through the regular training programme provided. The policy and procedures refer staff to the interagency procedure. Staff are given copies of the key policies in the staff handbook including the whistleblowing policy. The CSCI has not received any concerns or complaints about the service and no information about a referral about protection. DS0000023025.V320636.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 good. The home provides a safe well maintained homely establishment that care and attention has been put to the physical environment to support service users to remain as active as they are able. The staff ensure that they maintain a good standard of cleanliness in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users said that they were very happy with the environment of the home. One service user said about the standard of cleanliness and the home “ Very high standard of cleanliness. Very good decorative order – recently repainted.” DS0000023025.V320636.R01.S.doc Version 5.2 Page 17 The home is not purpose built but has been converted with an additional extension to provide sufficient accommodation for the eleven service users to live comfortably. The home is arranged over 2 floors with a lift to the first floor. The service users are provided with good sized bedrooms, 7 with ensuites with showers and the rest have an assisted bathroom and toilets close by. The individual rooms have been well thought out and provide sufficient space to have both a sleeping area and a separate area to sit with visitors comfortably. The home has a routine maintenance programme. It was evident that there is a very high standard of refurbishment, renewal and redecoration all around the home. The garden are is sheltered and is maintained well. It has areas for service users to sit and is easily accessible. There are good adaptations to the home to support service users mobility that includes grab rails, electronic door openers and bath aids. The home has recently replaced the windows to the front and side of the home with double glazing. The home has also recently externally been repainted. The home has good protocols in place to ensure that it is kept clean and hygienic. The laundry area is sited away from food preparation areas and the care staff are responsible for the care of service users clothes and linen. The inspector was informed that the laundry room and equipment is under review and that it is proposed to improve the facilities in the next few months. The home has currently a domestic washing machine and there are handwashing and sink facilities in the laundry room. Current practices are that an individuals washing is done separately each time. They have systems for handling soiled linen and clothing but staff stated this was not a frequent occurance. They purchase the services of a contractor for the disposal of clinical waste. The home appeared very clean and well kept and service users were complimentary about the standard of cleanliness in the home. DS0000023025.V320636.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 adequate. The home has a sufficient number of staff with the necessary skills and experience employed to meet the needs of the service users. The records of evidence of the processes for recruitment are not detailed enough as some employees full work history is not recorded or explored. The home does not ensure that they have records of how they have provided induction training for new staff. These judgements have been made using available evidence including a visit to this service. EVIDENCE: The homes written rota was reviewed and a discussion with service users and staff indicated that there were sufficient staff on duty at all times. The rota does not give the full name of the staff member only their first name. There are 14 staff employed to provide care and support to service users. Two members of staff are employed part time for the administration and financial management. The manager has assessed all the service users and identified that they have Low needs. There is usually one waking night duty staff member on duty with one sleeping in. Extra care staff are employed if the DS0000023025.V320636.R01.S.doc Version 5.2 Page 19 service users needs change. Additional staff are employed for the catering, domestic and gardening needs of the home. The manager supplied information that 80 of the staff have obtained an NVQ 2 or above. The recruitment records of 2 staff were reviewed. The employment files and other documents kept supported that application forms are completed, written references and and a health declaration obtained. Criminal records and Protection of Vulnerable Adults checks are carried out before the new employee starts working in the home. The current application form does not request the applicants full work history and they do not require them to submit a CV. There is no record kept of the applicants work history being recorded as routine or explored in the interview process. The staff and manager confirmed that all new employees were provided with an induction process but this is not recorded in the employees file or the topics identified as included in the training programme. The staff are provided with a rolling programme of training that has included Protection of Vulnerable Adults, moving and handling, infection control, diabetes,food hygiene, fire safety and activities for the elderly, since the last inspection process. The manager was able to indicate that training planned for the future was first aid, medication, Death,dying and bereavement and oral care. DS0000023025.V320636.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): 31,33,35 and 38 Quality in this outcome area is good. The home is suitably run and managed by the manager and provider. This judgement has been made using available evidence including a visit to this service. EVIDENCE: General comments given by service users and relatives about the home were “My mother likes Abbeyfield. It is well run, clean and friendly. It is also a very a homely place. We particularly appreciate the support given by the chairman and House Manager,” “It’s the ideal place to be, can’t find any fault” and “I was perfectly satisfied all the staff most helpful, thank you” DS0000023025.V320636.R01.S.doc Version 5.2 Page 21 The manager has been working at the home since 1985 and has obtained NVQ4 and Registered Managers Award. During the last year she has updated some of the mandatory health and safety topics necessary and other training such falls and fractures, and oral health. When the manager is not working in the home the staff are able to contact members of the executive committee for support or advice. There is a very good programme of review and audit that has been further developed over the last year. There are audits carried out on the building, environment and for safety. Service users are regularly consulted individually by a member of the executive management committee who spends time with them to seek their opinion of the service. These records are recorded in detail. The home usually carries out a formal process through questionnaires to service users, relatives and professionals who have contact with the home, once a year. However, this could be improved by better recording of the reviews of service users care plans and risk assessments. The manager provided information that 10 service users are subject to power of attorney, all handle their own money supported by their relatives. Service users are provided with lockable spaces for their money. Service users and their families are responsible for insuring their personal property and valuables. The staff are provided with a rolling programme of health and safety training to ensure that they have a good understanding of their responsibilities. Over 80 of the care staff have obtained a first aid certificate and there is a regular programme of fire training and drills. Regular servicing of the boilers and central heating, portable appliance testing, emergency lighting, lift and equipment are carried out. They have information for COSHH and routinely test the water supplies for temperature and legionella. DS0000023025.V320636.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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000023025.V320636.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. 2. Standard OP7 OP29 Regulation 15 19 Requirement That the care plan records how the care needs of the service user are to be met. That the home ensures that the employees full work history is recorded and any gaps explored before employment. That the home keeps record of the content and induction process completed by staff when they start at the home. Timescale for action 22/02/07 22/02/07 3. OP30 18 22/02/07 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 3 Refer to Standard OP9 OP16 OP27 Good Practice Recommendations That the records to medication administration are kept separate from other documentation and that a photograph of the individual service user is included. That a record of minor concerns is kept for quality assurance monitoring purposes. That the full name of the staff member is recorded on the staff rota. DS0000023025.V320636.R01.S.doc Version 5.2 Page 24 DS0000023025.V320636.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 DS0000023025.V320636.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!