Inspection on 26/10/06 for The Cedars

This inspection was carried out on 26th October 2006.

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

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

Other inspections for this house

The Cedars 30/09/09

The Cedars 26/09/07

The Cedars 25/04/06

The Cedars 10/10/05

The Cedars 05/05/05

The Cedars 25/01/05

The Cedars 13/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Cedars 45 Queens Road Oldham OL8 2AX Lead Inspector Carol Makin Unannounced Inspection 26th October 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 The Cedars DS0000005488.V308814.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. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Cedars Address 45 Queens Road Oldham OL8 2AX 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) 01616264665 0161 626 4665 Mrs Eileen Ashton Mrs Eileen Ashton Care Home 12 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (4), Old age, not falling within any other of places category (12) The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 12 OP, up to 2 DE and up to 4 DE(E). No service user to be admitted into the home under 60 years of age. A Manager, working a minimum of 30 hours each week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered, or has an application for registration pending, with the Commission for Social Care. 25th April 2006 Date of last inspection Brief Description of the Service: The Cedars is a small, family run care home for up to 12 service users. The home is situated one mile from Oldham town centre, close to local amenities and public transport. Accommodation is provided in six single bedrooms, four of which have en-suite toilet facilities, and three twin rooms with en-suite toilets. Privacy screens are provided in the shared rooms. There is a large lounge and a lounge/dining room; there is also a small separate lounge at the rear of the property, which is a designated smoking area for service users. Level access to one of the dining rooms is not provided, service users must negotiate one step; grab rails are in place for those service users who may need assistance. The front of the home provides a large garden area overlooking the park with seating areas for service users. A small amount of car parking space is available at the rear of the property. The weekly fee is from £ 305-34 to £313-88, which does not include hairdressing, clothes, and newspapers. A copy of the Commission’s most recent inspection report is on display in the entrance hall. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key inspection of The Cedars has been carried out which included an unannounced site visit to the home on 26th October 2006 by 2 inspectors. During the visit the inspectors spoke with residents, the manager, care and catering staff, looked round the home, and examined records. What the service does well: What has improved since the last inspection? There had been a significant improvement in many areas since the last inspection, with many of the requirements from that inspection having been addressed. Detailed assessments of prospective residents’ needs had been completed prior to admission to the home, to enable the management of the home to form a judgement about whether the needs could be met at the home. Care plans, risk assessments and reviews, had improved, and new risk management plans had been implemented. Residents’ weight was being recorded regularly, and appropriate action had been taken when issues such as weight loss, and dietary/ nutritional problems were noted, and input from community health professionals, e.g. dietician/community nurses/ G.P.’s, had subsequently been requested. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 6 Improvements had been made to the accommodation, e.g. repairs had been done, some new carpets had been fitted and a bedroom had been redecorated. A hoist, 2 new wheelchairs, and a fire evacuation chair had been purchased. Some progress had been made with staff training, and the manager had begun training for the Registered Managers Award. There had been a significant improvement in the home’s quality auditing system, which included a survey of residents’ relatives and friends, and health care professionals to ask their views about the service provided at the home. 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. The Cedars DS0000005488.V308814.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 The Cedars DS0000005488.V308814.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, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents care needs were completed before they moved into the home, thereby ensuring that the home is able to meet residents’ needs. EVIDENCE: The manager said that there had been 1 new admission to the home since the last inspection. A community care assessment, and the home’s own preadmission assessment of the prospective resident’s needs were in place on the file that was inspected. The applicant was living out of the area prior to admission, but someone from The Cedars had made a visit to do the assessment despite the distance involved, which was noted as good practice. Relatives had viewed the home on behalf of their mother prior to admission. Intermediate care is not offered at The Cedars, standard 6 is therefore not applicable. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 9 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 good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs were set out in an individual plan of care, and are met in the home. Procedures for dealing with medicines were appropriate. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: Care files for a recently admitted resident and a resident who had lived at the home for several years were selected for inspection. The information in care plans, risk assessments, and risk management plans was clear, detailed, and staff confirmed that they found them easy to follow. This demonstrated a significant improvement since the last inspection. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 10 Residents’ weight was recorded routinely each month. Where weight loss/gain was an issue, residents were weighed more frequently, referred to relevant health professionals, and care plans/risk management plans completed, and reviewed monthly. Records were kept of visits made to residents by health professionals from the community services. In addition to reviewing care and risk management plans each month, the manager was continuing to do monthly summaries regarding each resident. A review of a resident by social services, which provided a reassessment of needs and a new care plan, had been carried out earlier in the year. Care staff continued to do routine reports about residents’ care, although there were occasions when this had not been done each day. It was also noted that observations made by staff had not always been followed up by the staff on the next shift. Daily ‘care charts’, recording toileting and intake of food/drink, were being kept for 3 residents who had been identified as having a special need for this detailed information to be kept. The residents looked clean and were nicely presented, and those who wished were wearing nail polish. Residents who were able to comment said they were satisfied with their care, and felt that the staff “looked after” them, and respected their rights to privacy and dignity. In 5 of the 6 comment cards returned to the commission, visitors expressed satisfaction with the overall care provided. One person stated that they were not satisfied with the overall care provided, but did not give details about the reason for the comment. The requirements in relation to medication that were made previously had been addressed, and the only issue identified on this inspection was that correction fluid had been used on the medication administration record (MAR) sheets. The manager and staff were receiving medication training by means of a ‘distance learning’ course. The manager provided a sample of course work books for inspection, and informed the inspectors that the training was due for completion in 2 weeks time. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 11 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. This judgement has been made using available evidence including a visit to this service. Residents were able to exercise choice within the daily routine of the home. Activities were overall sufficient to meet resident’s needs, and provide them with stimulation. Residents were able to maintain contact with relatives and friends, providing them with links with the wider community. There was evidence that residents were offered a varied diet, and that they were able to exercise any control over their diet. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 12 EVIDENCE: The benefit of the increased staffing levels providing 3 carers on duty in the afternoon, was immediately noticeable, as 2 carers were observed spending time doing activities with residents, i.e. ‘armchair basket ball’, and board games. A daily programme of activities was displayed in the home, which also included: ‘armchair skittles’; cake making; bingo, and films. The inspectors were also shown photograph frames that had been made by some of the residents, which demonstrated that other handicrafts were included in the activities available. Residents said that they were looking forward to a Halloween party on the night of 30th October, to which relatives and friends were invited. The staff had decorated the hallway and communal rooms for the event. Residents were overall satisfied with the activities on offer, and made comments such as “there are things to do each day”. Residents were briefly observed having lunch. They were cheerful and said they were looking forward to the meal. They said the food was very good, and that they enjoyed it. The menu for the day was clearly displayed on a white board in the dining room. Alternatives to the meal on the menu were provided to meet residents’ individual dietary needs/ personal preferences. This was observed during the inspection as 2 residents were having something different from the other residents. The inspectors also observed that staff were discreetly providing assistance to residents who needed help with feeding. The dining accommodation was clean and appropriately furnished. New tablecloths and place mats had been provided since the last inspection. In all of the 6 comment cards returned to the commission, visitors confirmed that staff welcomed them into the home at any time, and that they were able to visit their relative/ friend in private. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 13 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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, residents and their visitors were confident that any complaints they may have would be listened to, taken seriously, and acted upon. EVIDENCE: The home had a written complaints procedure, which was displayed in the entrance hall. Residents who were able to comment, were of the opinion that the manager “sort out” any problems or complaints if they had any. Staff spoken to also expressed confidence appropriately dealt with by the manager. that complaints would be Of the 6 comment cards returned to the commission, 5 visitors said that they were aware of the home’s complaints procedure, and 1 person said they were not aware of the procedure. Whilst a requirement made following previous inspections, for staff training in relation to ‘abuse’ to be updated had not been addressed, the manager informed the inspectors that she had taken action to comply with the requirement, and staff were on a waiting list for a training regarding ‘Abuse of the Elderly’. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The accommodation was clean, warm, and decorated to a satisfactory standard, and residents were able to benefit from a programme of routine maintenance and renewal of furnishings, fittings and equipment. EVIDENCE: The parts of the home, which were inspected, were clean, warm, free from offensive odours, and decorated to a satisfactory standard, and all the requirements regarding the accommodation, which were made following previous inspections had been addressed. Since the last inspection a system of weekly checks of the accommodation had been implemented to identify and record any repairs /redecoration needed, and the action which had subsequently been taken to complete the work. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 15 Invoices regarding purchases such as a hoist, wheelchairs, carpets, bedding and curtains, were available for inspection. One bedroom had been redecorated and had a new carpet and soft furnishings, and a new carpet and colour matching bedding had been provided in another bedroom. At the time of the inspection, the communal areas were decorated in readiness for a Halloween party that was planned for the following Monday evening, (30th October). The staff had clearly put a lot of effort into making the home look so festive for the party, and residents had enjoyed watching the preparations being made. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staffing levels and training provided were such that the care needs of the residents were being met to an adequate standard. Recruitment practices did not offer maximum protection to residents. EVIDENCE: An increase in staffing levels was reflected in the staff rotas provided for inspection. As commented on previously when reporting on daily life and social activities, the benefit to the residents, of the increase in staff during the afternoon was noted during the inspection, as staff were able to spend time with the residents meeting their physical and social care needs. This demonstrated a significant improvement since the last inspection. Further improvement is needed regarding recruitment procedures as several anomalies were noted in the vetting procedures. The manager needs to make sure that application forms are fully completed, and are signed and dated by the applicant to confirm that the information provided is true and accurate. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 17 The manager must also ensure that an explanation is given and recorded for references not being from the people nominated by the applicant, and for any change of name of the applicant, e.g. if their name on identification documents is different from their name on the application form. The manager provided information about the action she taken in relation to the requirements regarding staff training, (some of which were needed to up date previous NVQ training), made following previous inspections. She gave details of the training completed, that which was in progress, and courses for which applications had been made for staff to attend when places are available. Induction training had been arranged via the Social Care Training Partnership with Oldham Social Services Department, which provides ‘Skills for Care’ induction training for new staff. In relation to other training, all staff members had received training in safe food hygiene, medication training was in progress (see S9), and staff were on waiting lists for training regarding dementia, POVA (See S18), and safe working practices (See S38). Training in relation to falls prevention, health & safety and first aid, had not been arranged at that time. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. The management and administration systems that are in place, need to be consistently adhered to, for the promotion and protection of residents’ health and welfare to be ensured at all times. EVIDENCE: The inspectors noted that there had been a significant improvement in the overall running of the home since the last inspection. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 19 The manager was progressing with training for a Registered Managers Award and she provided her work file for inspection. She said that she was finding the training to be beneficial and that she was enjoying it. Since the last inspection a system of monthly meetings for residents and for staff had been established, the minutes of which were available for inspection. In May 2006 the manager sent out questionnaires to residents’ relatives and friends, and health care professionals to ask for their views about the service provided at the home. A brief summary of the overall findings was added to the service user guide on 6th June 2006. This demonstrated a significant improvement in the home’s quality auditing system since the last inspection. In the main, the comments cards returned to the commission by visitors were positive about the service provided at the home. Their comments included: “The staff are always available to discuss my relative’s welfare, and the owner is very helpful and considerate”; “I find the staff and the owner extremely pleasant, and they will answer any of the questions I may have”. “My relative has the best possible care in the Cedars”, “ We are pleased with the care she receives. They are kind and compassionate and always ready to help”. The manager stated that OMBC Social Services had implemented a new system regarding the management of residents’ personal finances. Social Services were retaining the money, and providing access to it by issuing a cheque on request. There was some improvement in the way in which the accident book was being maintained. Further work was however needed, as an accident which was noted in the day to day records had not been recorded in the accident book, and entries in the accident book need to be made by the member of staff who discovers the accident, rather than by the manager. The manager stated that in training safe food handling had been updated since the last inspection (see S30), and staff were on waiting lists for refresher training in infection control, and moving & handling. Training to update staff in health & safety, and first aid, had not been arranged at the time of the inspection. Old wheelchairs had been replaced since the last inspection, but during the inspection it was noted that residents were being transported in a wheelchair without the use of foot rests. Servicing reports for the lift were available for inspection. The manager said that she would also arrange for independent inspections of the lift to be done every 6 months. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 20 On the advice of the fire officer, given during a routine fire inspection of the home earlier in the year, the manager had devised a plan for residents who were unable to use the fire escape to be evacuated from the 1st floor, and she had purchased a special chair for the purpose. She said that she had included this a fire risk assessment as suggested by the fire office. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 13 Requirement The registered person must ensure that wheelchairs are not used without the use of foot rests unless a risk assessment states otherwise . Timescale for action 01/12/06 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 OP18 Good Practice Recommendations The registered person should ensure that all staff receive updated training regarding abuse and the protection of vulnerable adults within 6 months of the date of this report. The registered person should ensure that management and staff receive training regarding falls prevention to meet the specific needs of residents. The registered person should ensure that job application forms are signed and dated by the applicant to confirm that the information provided is true and accurate. The manager should also ensure that an explanation is given and recorded for references not being from the people nominated by the applicant, and for any change of name DS0000005488.V308814.R01.S.doc Version 5.2 Page 23 2 3 OP38 OP29 The Cedars 4 OP38 5 OP9 of the applicant, e.g. if their name on identification documents is different from their name on the application form. The registered person should ensure that staff receive updated training in relation to basic care practices, moving and handling, first aid, infection control, and health and safety. The registered person should ensure that correction fluid is not used on the medication administration record (MAR) sheets, or any other official records. The Cedars DS0000005488.V308814.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 The Cedars DS0000005488.V308814.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!