Inspection on 15/04/05 for Sycamore Drive (9)

This inspection was carried out on 15th April 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sycamore Drive (9) 12/02/08

Sycamore Drive (9) 19/03/07

Sycamore Drive (9) 18/10/05

Sycamore Drive (9) 27/09/04

Sycamore Drive (9) 27/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Sycamore Drive (9) Carley Lodge Fulwell Sunderland SR5 1PP Lead Inspector Clifford Renwick Unannounced 15 April 2005 10:00am 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sycamore Drive (9) Address 9 Sycamore Drive Carley Lodge Fulwell Sunderland SR5 1PP 0191 549 6083 0191 549 6083 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community Intergrated Care Mr Robert Trueman Care Home only 4 Category(ies) of Learning disability - 4 registration, with number Physical disability - 1 of places Learning disability - over 65 - 2 Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27.09.04 Brief Description of the Service: The home provides personal care to four men both over and under the age of 65 years all of who have a profound learning disability. One person also has a physical disability. The current age range is from 47 – 73 years. It provides residential care only and any health needs are dealt with by the Community Nursing Services. The home has been open since 1995 and was especially adapted for the current service. The house is a bungalow and sits in what could be described as a small exclusive housing estate. It would be difficult to determine from the outside of the home that it provides a residential service, blending in well with other houses in the cul de sac in which it is located. There is a local bus service, which offers access into the City Centre where there is a range of services and shops. The home has its own transport due to the level of disability that service users have. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours and was carried out as part of the statutory twice yearly inspection process. All areas of the premises were viewed and care records were examined as well as records that related to health and safety and new staff employed in the home. Discussion took place with the three staff on duty on the morning shift and also with the three staff on the changeover of shift in the afternoon. This discussion focused on the key worker roles and also individual service user plans. Discussion also took place with the 4 service users and time was spent having lunch with them and also observing staff practices. What the service does well: What has improved since the last inspection? The organisation has been successful in recruiting permanent staff to the team and have also addressed the gender imbalance by employing male staff. This has resulted in a more balanced team ensuring that service users have a choice of a male member of staff to work with them whilst carrying out personal and intimate care tasks as well as ensuring the consistency of carers. The building and décor has benefited from decoration and is well maintained and the provision of new furniture and fixtures and fittings has ensured that a good standard of accommodation is available to the service users. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 5 Pre admission assessments are in place however the information in the terms and conditions of residence have gaps in relation to what it costs to live in the home, therefore this could have an impact on the ability of prospective service users making a choice of home. EVIDENCE: Each service user has an individual assessment document which is updated every three months and this ensures that staff are targeting the most appropriate needs of service users. This also ensures where there are any sudden changes with health needs a referral can be made to the appropriate health professional. Examination of service user files confirmed that for one service user there were concerns about weight loss and this had resulted in staff seeking immediate medical advice. Plans are in place for the service user to undergo medical tests to determine the cause of the weight loss. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 7 Detailed care plans and staffs understanding of how service users communicate ensures that service users receive care which meets their needs. EVIDENCE: Each service user has an individual care plan that confirms how individual assessed needs are to be met by staff. Care plans are clear, well set out and easy to follow and detail the appropriate actions to be carried out by staff. Improved care plans are in place which in turn are linked to risk assessments and from this there are clear objectives set. Care plans have been improved since the last inspection and for one service user include a range of monitoring charts in order to ensure a satisfactory intake of food and fluids. Discussion with staff confirmed that they have a good understanding of individual service users needs and observations made during the inspection supported this. In order for staff to develop their skills and knowledge of individual service users two of them have attended a course on epilepsy and a further three staff will be doing similar training in June. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 10 One service user at times can display signs of agitation which has an impact on other service users and staff have responded positively to this by making use of the service users bedroom and the use of specialist lights and equipment to provide a relaxing area. This has resulted in reduced bouts of agitation and consequently has had positive benefits for other service users. It is extremely difficult for service users to fully participate in the day to day running of the home due to their lack of comprehension and profound disability as well as risk factors, however opportunities are offered by staff to involve service users in the general day-to-day activities which is mainly activities, as fully as possible. Risk Assessments are in place for each service user and these demonstrate how staff have introduced measures which prevent service users from self harm. These are effective as there were no recorded accidents since the last inspection. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, 15, 16, 17 A good range of meals are available to service users which meet their dietary needs. There are limited opportunities for service users to go out of the home. Consequently the promotion of a healthy and stimulating lifestyle is restricted. EVIDENCE: Lunch was taken with service users. This was a finger style buffet which consisted of both hot and cold foods offering a good choice of sandwiches and savouries. Service users required the support of staff throughout the meal and this ensured that the meal was unhurried and relaxed. Staff confirmed that they knew what service users liked to eat what they did not like and therefore menus were arranged around their preferences. Staff stated that they observed service users body language during mealtimes especially if introducing new foods as a way of determining whether they liked them or not. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 12 As previously stated in this report one service user makes full use of his room during the day for relaxation sessions. The room has been fitted with special mats and lighting and a music system. Unfortunately the service user cannot use all of his equipment such as the projector as there are insufficient electrical sockets. The manager has made three requests in the last 12 months to the organisation for additional sockets to be fitted/relocated in the service users bedroom and the organisation have not responded to these requests. This remains outstanding and as such becomes a requirement of this report. Discussion with staff confirmed that due to the age of service users the television is a stimulating activity and service users do like to watch television particularly animal programmes or musicals. Observations throughout the inspection confirmed this to be the case. In discussion staff confirmed that they are continuing to pursue individual and appropriate holidays for service users. One service user has planned to go to Amsterdam on a mini weekend and he will be supported by two staff. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 Staff are effectively supporting and promoting service users to ensure appropriate healthcare support is always available. EVIDENCE: Appropriate polices and procedures are in place for dealing with medicines. Since the last inspection two service users have been provided with new wheelchairs and appropriate harnesses to assist with accessing outdoor activities. Service users have access to all NHS services to ensure that all their health needs are met. Health needs are monitored and appropriate actions are identified in individual care plans. Records of care confirmed that staff access a range of professionals which includes community nursing services. Any changes in service users health needs are responded to quickly and a referral is made to the appropriate health professional ensuring that the service user receives immediate support. This was evident from examining case files, daily records and from discussion with staff. Staff always accompanies service users to any outpatient appointments and use is made of taxis and also the homes mini bus to do this. Discussion with staff confirmed that they have a good knowledge of service users and as such are able to notice any changes in their behaviour no matter how small. This then leads the staff to investigate the cause of the change which in turn informs care practices. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 14 None of the service users are able to administer their own medication and this is dealt with by staff. Records of administration are in place which confirmed that this is dealt with satisfactorily. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Whilst service users communication skills are very limited, arrangements are in place through the complaints process to promote their safety and offer protection. The home have copies of the policies and procedures issued by Sunderland Social Services which deal with the protection of Vulnerable Adults and which are know as MAPPVA (Multi Agency Panel for Protection of Vulnerable Adults). EVIDENCE: Service users lack the ability and comprehension to understand what is included in the complaints procedure. Staff are very much aware of observing changes in service users behaviour and body language as staff stated that this is an indication of when they may not be satisfied. From discussion with staff and from examination of case files it was clear that staff were able to offer examples of this and demonstrate what actions have and would be taken. Should this occur then staff attempt to establish what has caused the change in behaviour and rectify the situation. Discussion held with the manager confirmed that he and all staff have received training in the MAPPVA procedures. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 29, 30 Overall improvements to the décor ensure that service users have a comfortable and safe environment to live in though not all bedrooms have the necessary fittings to promote independence. Service users have access to a range of bathrooms and toilets. The home is clean, hygienic and was free of any noticeable hazards at the time of the inspection. EVIDENCE: At the time of the inspection the room which is used by staff as an office and also a sleepover room was having new laminated flooring fitted. A new fitted kitchen has been installed and this has included new appliances such as a cooker, hob, fridge, microwave and a chest freezer. The laundry room has been decorated and fitted with a new washing machine and drier offering improved facilities for staff to deal with all of the laundry in house. The lounge now benefits from a new dining table and chairs and also new settees, new television and a new music system. Discussion with staff confirmed that the cane furniture in the conservatory was to be replaced with more traditional furniture as the current furniture was uncomfortable. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 17 Service users have also benefited from changes in their bedrooms with one service user having a new television and another having had all his furniture replaced. All bedrooms have been decorated and so too have bathrooms. As previously stated in this report one service user likes to spend time in his bedroom making use of specialised equipment. Unfortunately due to there being insufficient sockets he is not bale to make full use of his equipment. Additional sockets need to be fitted to ensure that this can take place and this addressed as a requirement of this report. The block paving to the front of the home has had work carried out to overcome flooding and plans are place for the rear patio area to be landscaped and re-laid so that service users can make full use of the external amenities. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: Positive steps have been taken to recruit staff for vacant posts thereby ensuring that service users are supported by a consistent and able staff team. The deployment of staff on each shift ensures that service users are supported by appropriate numbers of staff. Staff undergo regular training to ensure that they have the necessary skills and experience to support service users. Since the last inspection two new full time members of staff have been employed into the long term vacant positions which were previously covered by relief staff. This has strengthened the staff team but even more so has gave a better gender balance to the team as both new employees are male. The staff team now consists of 4 males and three females. There is still one vacant position for a 36 hour post and this post is currently being covered by either a relief worker or the existing staff team who receive an improved financial incentive to work extra shifts. If the relief worker is used the manager ensures that it is the same worker each time in order to offer Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 19 continuity of care to service users. Active steps are being taken to recruit a worker for the vacant post. Discussion with staff confirmed that they are continuing to undergo NVQ training. Rotas confirmed that there are always three staff on duty and this is appropriate to meet the current level of service users needs. In discussion with the manager it was advised that a current photograph of newly employed staff must be kept in their individual files in order to meet the requirements of the Care Homes Regulations 2001. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 42 The manager provides leadership and guidance to the staff team and is the driving force in improving standards within the home ensuring that service users needs are met. Staff receive regular training to ensure that practices in place support the health, welfare and safety of service users. EVIDENCE: Since the last inspection the manager has commenced the Registered Managers Award in order to meet the requirements of the National Minimum Standards. The manager who was off on the day of the inspection came in to take part in the inspection process. The manager explained that now he is attending college one day per week he delegates a member of staff to take charge of the home in his absence and this ensures that matters which he would normally deal with are not left unattended to. The manager remains enthusiastic about the work and stated that he was pleased with being able to recruit new male staff in particular in order to build upon the staff team as this has had positive benefits for service users by Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 21 ensuring that service users had a choice of a male carer for carrying out personal and intimate tasks as well as receiving support from a consistent staff team. As part of the training the manager is covering quality assurance and this has supported the systems which are currently in place. The manager is keen to ensure that all areas of the service continue to be evaluated and appropriate systems are in place to support him. The new staff have carried out induction training and all staff have received updated fire training. Records are in place which confirm what training has been arranged for staff and also what training has been received. The manager promotes staff training and encourages staff to access any training which is appropriate to the work and this was evident from examination of the organisations training plan records. Staff made positive comments about the manager stating that he involved them in all aspects of the home and one member of staff said he was teaching them how to deal with some of the organisations paperwork such as time sheets. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 3 x 2 3 Standard No 11 12 13 14 15 16 17 x x 3 2 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sycamore Drive (9) Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 2 Regulation 4, 5 Requirement Timescale for action 30.06.05 2. 6 15 3. 14 16 (2) (n) 4. 26 16 (1) c The terms and conditions of residence must contain the fees payable, by whom, what they cover and what they do not cover. (Timescale of 31.01.05 not met). Service user profiles must be 31.08.05 updated as advised and careplans must continue to be developed. The manager must investigate 31.08.05 and develop a range of stimulating activities for service users. Additional electrical sockets must 30.06.05 be installed in the service users room as discussed, in order to enable all of the sensory equipment to be used effectively. 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 14 Good Practice Recommendations Consideration should be given to increasing the range of television channels available to service users as well as B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 24 Sycamore Drive (9) increasing the DVD collection. Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Baltic House Port of Tyne, Tyne Dock South Shields NE34 9PT 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 Sycamore Drive (9) B52 B02 S15759 Sycamore Drive V219624 15 Apr 2005 Stage 4.doc Version 1.20 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!