Inspection on 07/11/06 for Sutton Lodge Nursing & Residential Home

This inspection was carried out on 7th November 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

Sutton Lodge Nursing &... 10/02/06

Sutton Lodge Nursing &... 11/11/04

Sutton Lodge Nursing &... 05/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sutton Lodge Nursing & Residential Home Station Road Sutton On Sea Lincs LN12 2HR Lead Inspector Wendy Taylor Key Unannounced Inspection 7th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Lodge Nursing & Residential Home Address Station Road Sutton On Sea Lincs LN12 2HR 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) 01507 441905 01507 443322 Mr Stephen John Croudace Mrs Wendy Draper Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (2) of places Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Restriction The category of Physical Disability is for one named person only (As per letter dated 28.6.02). The registration for Physical Disability will be revoked when the named person no longer lives in the home. Restriction The additional bed in the category of Physical Disability is for persons aged 45 years and over. 10th February 2006 2. Date of last inspection Brief Description of the Service: Sutton lodge is situated in a residential area of Sutton on Sea. The home comprises a large old building with accommodation for 9 residents who require personal care, 3 converted stables that provide semi independent accommodation with a linked call bell system and a large purpose built single storey building that can accommodate up to 22 older people who require personal and nursing care. Well-maintained gardens and parking areas surround the homes. The providers also run a domiciliary care agency from the top floor of the older building. The current fee scales for the service are £335:00 to £516:00. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during November 2006 and the visit to the home was carried out over approximately 6½ hours on one day. The care received by four residents was followed in detail. Feedback was obtained from these people and others who live at the home about their experiences of living there. Individual resident’s records and general house records were looked at; staff and the responsible person were spoken to and observation of the care being provided was made. Feedback was also received prior to the visit from surveys completed by residents and a questionnaire completed by the registered manager. The visit also included a thematic enquiry. This consisted of asking a number of standardised questions to the residents who’s care was followed. This was part of a national pilot scheme. We informed the registered person and sought the agreement of residents in advance of asking the questions about the care they receive. Feedback from residents was generally positive and one resident said that the home was ‘excellent’ and ‘you couldn’t get a better place’. Other comments are reflected in the body of the report. What the service does well: What has improved since the last inspection? Since the last inspection an activity co-ordinator has been employed and has developed an activity programme that includes individual time with residents. Staffing levels currently meet the needs of residents and this is helped by the employment of the activity co-ordinator. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 6 Feedback from residents indicates that there has been an improvement in the quality of the food provided and there are now risk assessments in place for unguarded radiators sited in communal areas. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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 Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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): 1, 2, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A variety of information about the home is available to residents and their families, which helps them to make informed choices about where to live. They are involved in a comprehensive assessment process, which assures them that their needs will be met. EVIDENCE: There is evidence in resident’s personal files that an assessment is carried out, which includes information about nutrition, moving ad handling, psychological needs, continence, social needs, tissue viability and pain levels. A detailed description of the person’s past personal and social history is also contained in the files. A relative said that they had been given lots of information about the home and had a chance to look round before choosing the home on behalf of their Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 9 family member. They said that they had chosen the home because they were made to feel welcome and it has a ‘homely and comfortable feel about it’. In response to thematic enquiry questions asked during the visit, most residents said that they had received a copy of the service user guide, and one said that they did not know if they had or not. There was also evidence from surveys completed by residents that they had received a service user guide. Three residents said that they had received information about changes to the costs of their care since they had been living at the home and one said that their solicitor had been given details. Three residents said that that they have a written contract or statement of their terms and conditions and one person said that they think their family has their copy. One resident said that they did not know if their contract had been changed since they moved to the home and three said that theirs had not been changed. Four residents said that they were spoken to about their care needs before they moved in, and said that their families were also involved. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are clear and comprehensive care plans that reflect resident’s individual needs, and care is provided in a manner that maintains their privacy and dignity. Medication procedures generally safeguard residents but their safety is compromised by incomplete administration records. EVIDENCE: Care plans are in place for all needs that have been identified in the resident’s individual assessments. Standardised care plan formats are used to make sure that all of the basic elements of the care are provided and then there is evidence that the resident’s individual needs are added to the plan. Areas covered by the care plans include mobility, personal safety, personal hygiene, nutrition, diabetes, catheter care, tissue viability and medication. Plans are very detailed and all sections are fully completed. One resident said ‘I know about my care plan, and I have signed it’, and there was evidence of this in their records. Residents also said that they are involved in reviewing the plans, and records show that the plans are reviewed at least every month. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 11 There was very little detail in many of the review records and a recommendation has been made. Feedback from surveys indicates that residents have their medical needs met promptly. There is a policy available regarding privacy, dignity, choice, rights and independence. Residents said that staff maintain their privacy and dignity very well; one person said ‘they know when I don’t want to be disturbed’, and others said that staff are very helpful and speak to them respectfully. They said that they are able to make choices for themselves and one resident said that ‘things are done for me when I want them done’. Staff were seen to be providing a very respectful and caring approach towards residents and speaking to the residents in private about their needs. Drinks were available to people in bed where they could reach them, and staff were seen washing their hands appropriately and wearing protective clothing when needed. A relative said that the home provides ‘very good care’, and their family members needs are met and staff are ‘genuinely caring’. Medication records are generally well kept but there were two signatures missing from administration records, and a recommendation has been made. Photographs of residents are kept on individual records to help make sure that medication is given to the right person. Storage arrangements are satisfactory, and there is appropriate signage where oxygen cylinders are in use or stored. Staff said that the local pharmacy carries out regular audits but reports were not seen during this visit. Records show that staff receive training in medication administration, and staff confirmed this during discussions. Pre inspection information indicates that there is a policy available in relation to medication needs, which includes self-administration. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a range of activities that currently meets their expectations. They benefit from a balanced and wholesome menu that enables them to choose what they want to eat. EVIDENCE: Surveys received prior to this visit, relating to June and July 2006 indicated that the food provided was not always to the residents liking, however at the visit residents made comments such as ‘there’s good food on offer, and good portions’, ‘they will alter the menu to suit your choices’, ‘there’s plenty of fresh veg’. During the lunch time meal residents said that the food served was of a good quality and one said that the pastry was ‘excellent’. Meals were presented very well and the portions were ample. Menus are available on a three-week rotation and demonstrate a varied and balanced diet is on offer. There is a policy available for food safety and nutrition. Since the last inspection an activity co-ordinator has been employed. There was evidence in records that residents have access to individual and social activities. An activity plan is available on a monthly basis, which includes Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 13 outings, manicures, bingo, exercise sessions and gift sales. There are also books available around the home for general use. Residents said that there are games and outings available and two people said that the activity co-ordinator comes to have a chat when they do not want to leave their room. One person said ‘I’m happy with the amount of activity on offer’, and another person who had recently been admitted said ‘I shall talk to the activity lady about things I like to do’. Residents said that they can have visitors at any time they choose and staff were observed welcoming visitors warmly. Residents said that they can make their own choices about daily activity, for example when they want to go to bed, when they want to get up, and what they want to eat. Personal likes and dislikes are recorded in care plans and there was evidence by way of specialist equipment that residents are encouraged to maintain their independence. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear policies, procedures and risk assessments protect residents’, and that protection is increased by a knowledgeable staff team who ensure that residents’ rights are promoted. EVIDENCE: Records show that there have been no complaints or safeguarding adult referrals made since the last inspection visit. The complaints procedure is available in the service user guide and on view on the notice board in the entrance hall. Policies are also available for safeguarding adults, whistle blowing, accidents and incidents, emergencies and crisis, aggression towards staff, physical intervention and risk assessment and management. Risk assessments are available on individual resident files for issues such as unguarded radiators, hoisting needs and bed rails. Records show that staff receive training in safeguarding adults procedures, and the training plan shows that this course is available regularly in the home. Staff who have recently begun working at the home have not yet attended formal training but are able to demonstrate a clear knowledge of reporting and protection issues. Staff said that they receive a copy of the safeguarding adults policy and the policy relating to the acceptance of gifts is now given to staff during their induction and records confirm this. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 15 Residents said that they have the opportunity and support to vote in elections if they wish, and staff always take time to listen to them. Information about local advocacy services is available on the notice board in the entrance hall. Staff said that there are no residents currently using the service. In response to thematic enquiry questions asked during the visit, four residents said that they had received written information that tells them how to make a complaint, and that they have enough information to raise any concerns they have about their care. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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): 19, 22, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is well maintained and comfortable and it meets the individual needs of the residents. People’s health and safety needs are protected by risk assessments. EVIDENCE: The environment is very clean and tidy and there is a pleasant aroma throughout the buildings. There were no obstructions in corridors or other communal areas that could limit mobility. All communal and private areas contain comfortable and well-maintained furniture. Residents have personalised their private rooms with their own furniture and ornaments. A relative said that the home was ‘clean, comfortable and homely’. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 17 Call bells were situated where residents could reach them in their bedrooms, and some residents had portable call bells with them in various areas around the buildings. There is a wide range of equipment available such as specialist mattresses, specialist baths, a variety of hoists and individualised slings for use with the hoists. The equipment in use with each person is in line with the requirements of the individual care plans. Risk assessments for unguarded radiators are in place in individual care plans but there were no risk assessments available for those in communal areas. The responsible person took action straight away to ensure that they were put in place and agreed to forward a copy of the risk assessment to the commission for information. Discussion also took place about the need to undertake any action identified by the risk assessment. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current recruitment procedures and training programmes safeguard residents, and at present their needs are met by adequate numbers of staff. EVIDENCE: All of the information required to demonstrate a thorough recruitment procedure is available in staff files, including criminal record bureau checks, professional references and application forms. Staff described a recruitment procedure in line with the records that were available. A policy on recruitment and employment is available. Staff said that they have access to a good induction and training process, which has helped them to feel confident to do their job. They described training in areas such as fire safety, moving and handling, continence, dementia and catheterisation. Records show that staff have also received training in safeguarding adults procedures, infection control, administration of medication and health and safety. An on-going training plan is available, which shows that training in behaviour management and first aid is also available. Staff said they feel well supported and listened to by managers. Residents made comments such as ‘ I get all my needs met but there’s often not enough staff which means they’re busy’, ‘meals are cool on occasion if Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 19 there are not enough staff, but it doesn’t happen often’, ‘I get everything I need but they could do with more staff’, and ‘there are usually enough staff around and I get my bell answered quickly’. A relative said that there are enough staff around to meet their family members complex needs. Staff said that at present there are enough staff to meet needs but there is not very much time to sit and chat to people, although now there is an activity coordinator things are better. Rotas show adequate staff numbers are on duty and that sick leave has been covered. Records show that seven staff have left since the last inspection and the responsible person said that recruitment is an on-going process. During the visit, call bells were answered promptly, people were helped in a prompt and relaxed manner with their meals, and requests for assistance with other aspects of personal care needs where met as soon as requested. A recommendation is made in regard to monitoring staffing levels. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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, 36, 37, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and systems are in place to ensure that care is provided in a safe and appropriate manner. EVIDENCE: Records show that fire safety activity such as evacuation drills and equipment checks are carried out regularly, and there were no issues raised during the last visit by the local fire officer in June 2006. Pre inspection information shows that gas and electrical safety certificates have been renewed in 2006, and lift servicing has also been carried out in 2006. There is an up to date fire risk assessment available with evidence that it is regularly reviewed. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 21 Pre inspection information shows that all policies and procedures were updated in January 2005, and they cover issues such as confidentiality, equal opportunities, fire safety, first aid, health and safety, record keeping and substances that are likely to cause a hazard. Risk assessments and information sheets are also available for those substances likely to cause a hazard. Daily records are available to show that care is provided in line with residents care plans, and clear records are kept of all accidents or incidents involving residents or staff. Records show that a survey has been carried out regarding resident’s views of the food provided in the home. During discussions some staff said that they don’t have formal supervision but they are observed on duty and have very good management support. They said that they are able to discuss any issues about their work. However other staff said that supervision has been carried out for all carers and records are available that confirm this. Records also show that appraisals have been carried out. Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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 3 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X 3 3 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 X 3 3 3 Sutton Lodge Nursing & Residential Home DS0000002642.V318723.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. 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. 2. Refer to Standard OP7 OP9 Good Practice Recommendations It is recommended that greater detail is recorded in care plan reviews so that there is a clear demonstration that all of the current needs have been looked at. It is recommended that a regular audit of medication administration records be carried out to ensure that medication given to residents is consistently signed for by the member of staff administering it. It is recommended that staffing levels are closely monitored and that the views of residents and staff are taken into account in this monitoring process. It is recommended that supervision arrangements are reviewed to make sure that all staff have access to formal supervision sessions, and that they clearly understand the process. 3. 4. OP27 OP36 Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Sutton Lodge Nursing & Residential Home DS0000002642.V318723.R01.S.doc Version 5.2 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!