Inspection on 15/09/09 for Tramways Corner

This inspection was carried out on 15th September 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tramways Corner 21/10/08

Tramways Corner 13/05/08

Tramways Corner 08/08/07

Tramways Corner 19/07/06

Tramways Corner 03/11/05

Tramways Corner 17/05/05

Tramways Corner 25/01/05

Tramways Corner 11/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Tramways Corner Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Alan Pitts     Date: 1 5 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Tramways Corner Tramways Corner 39 Trebarwith Crescent Newquay Cornwall TR7 1DX 01637872049 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Catherine Fogarty,Mrs Mary V Musselwhite care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Service users to include up to 8 adults with a learning disability (LD) of whom 1 may also have a physical disability. Total number of service users not to exceed a maximum of 8 Date of last inspection Brief description of the care home Tramways Corner is an end terrace property very close to the town centre of Newquay. Behind the property there is parking for two cars. Additional car parking is available in a near by pay at the metre car park. There is a courtyard to the back of the house accessed through the kitchen. In the courtyard there is seating, pots of plants and a barbecue. Accommodation is provided on three floors (there is no stair lift facility) to upstairs bedrooms. On the ground floor there is a large lounge/diner and a kitchen that also has dining space. The laundry is domestic in type but is separate to the kitchen. The home provides accommodation and personal care for up to 8 residents with a learning disability. Fees range from 335 to 450 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 2 1 1 0 2 0 0 8 Brief description of the care home Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 15th September 2009, over a period of approximately 5 hours. The inspection included: discussion with the registered provider and staff, a tour of the premises, examination of relevant documentation, and the inspector met with 5 of the people that live there. We also looked at the responses from 4 surveys received from the people that use the service and others, which were sent out prior to the inspection. The residents have lived at Tramways for a number of years and the registered provider and staff have a good understanding of their care needs, though this does not always correlate with the care documentation. The overall rating is primarily due to the continued lack of attention to record keeping and management systems designed to protect residents. This results in a lack of attention to issues that are intended to protect residents. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 7 of 28 following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information for residents is available and efforts have been made to provide this in alternative formats. The registered providers endeavour to ensure that prospective residents will fit in with the existing residents, and obtain pre-admission assessment information to aid this. Evidence: The homes Statement of Purpose and Service User Guide have been reviewed and they are current and accurate, reflecting the level of service offered (e.g. staffing levels available). The complaints procedure is on display in the lounge and is in pictorial format. Tramways has an established group of people living there. The most recent person to move in to the home visited on three occasions before the decision was made to progress the admission. The resident met with the existing people that lived at the home. Pre-admission assessment information was obtained. There have not been any new admissions to the home since the last inspection. Placements are initially agreed on a first month trial basis, and the home maintains good contact with referring agencies, family and representatives. The registered Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: provider is aware of the importance of a successful placement for the existing residents as well as the new person coming to the home. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each resident has a plan of care. The care documentation shows the involvement of other health care professionals. The registered providers described practices that do enable some residents to take responsible risks. Evidence: Care plans are in place for each resident, but care should be taken to ensure they provide accurate up-to-date information. The individuals needs and preferences are evident in the plan of care (e.g. individual preferences for going to bed/getting up, bathing). One care plan showed the individuals signature. The registered provider and staff were knowledgeable of individuals capabilities, and liaise effectively with the local community and other health professionals. The home maintains good links with the day care services used by all but two of the people that live at Tramways Corner. There are risk assessments, but more could be done to show that issues are not dealt with in isolation (the decision made by Tramways staff alone), but that they are discussed openly with other agencies (social worker, GP). Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are encouraged to have social relationships with family and friends, and lead active lives outside of the home. Risk-assessments help to identify where residents rights and responsibilities need to be respected. The meals provided in the home are satisfactory with healthy eating encouraged. Evidence: One resident works at a nearby garden centre, and another organises their own lifestyle. The remaining residents attend external facilities at varying frequencies during the week. There is a new Newquay Group used by some of the residents. All have a family member available, though contact varies. The home have been supportive in finding work placements for residents. The inspector was advised that the Brandon Trust are visiting two residents next week with a view to work placements. Some of the residents access the local facilities, and one went out to the cashpoint at the time of the inspection. The registered providers have liaised Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: effectively with local businesses to support residents. Weekends are free-time and residents relax with each other or with friends and family. Relationships with family and friends are encouraged. Daily records evidence when the residents have had visitors. The people living at the home can receive their visitors in private in their room, or in the lounge. Residents can also telephone their family and friends or visit them at any time. Some of the residents go home at the weekend. Some go out unaccompanied, although it is expected that they inform staff where they are going and when they will return. Residents are free to decide if they want to be sociable or if they would prefer to spend time alone in their room. Residents assist with household tasks to varying degrees. The residents fall within a 20-year age group, and their activities and lifestyle are in keeping with this. The registered provider is aware of possible diversity issues presented by differing age groups. The registered providers and staff were seen to interact appropriately with residents. Residents have unrestricted access to the home and small rear garden. Bedrooms are not lockable, and more could be done to ensure privacy and individual wishes are respected. There is a weekly menu, and residents are asked what they would like to eat in the forthcoming week. The registered provider has the food order delivered weekly. Some meals are provided at the day/work placements during the week. There are no current needs for specialised diets. The record of food provided shows where people have opted for an alternative meal. Care Homes for Adults (18-65 years) Page 14 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides sensitive and flexible personal support. Residents receive access to all the healthcare facilities available. Residents are protected by the homes medicine practices. Evidence: The registered provider and staff said they ensure that appropriate personal support, care and encouragement are provided in such a way as to respect residents privacy and dignity. The care records, observation, and discussion with the registered provider and staff show that the residents waking day is flexible. The residents are receiving access to the health care facilities they are entitled to (e.g. dental checks, eye tests). Guidance and support regarding personal hygiene is provided, and residents are assisted to choose their own clothes and appearance. The staff have undertaken medicine training via a local college. None of the residents self-medicate. Medicines are stored in a room that was comfortably cool on the day of the inspection. Medicines that require cool storage are placed with refrigerated foodstuffs in a seperate container. Medicines are administered from the original packaging. Medicine Administration Records are handwritten, and show a second Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: signature to indicate the entries have been checked. The homes medication policy and procedure is displayed on the inside of the medicine cupboard, but the version there was different to that in the policy folder. Care Homes for Adults (18-65 years) Page 16 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a complaints procedure, which has been explained to the residents. More could be done to safeguard residents from abuse, though we are advised that staff have received relevant training. Evidence: There is a brief, but current complaints procedure, and a simplified pictorial version is also available. The registered provider and staff confirmed that this has been explained to residents. The complaints procedure does state that a response will be made within 28 days. Neither the home nor the Commission have investigated any complaints since the last inspection. The inspector was advised that all but one of the staff have attended training on safeguarding and the Mental Capacity Act, though there were no training certificates available to support this. There are relevant procedures in place. Residents are not protected by the homes recruitment practices. There is a need for the providers to alter the current financial arrangement whereby residents money is paid into the homes bank account and then redistributed to the individual. More needs to be done to ensure that residents can manage their own finances, or have a representative do so for them, and the registered provider undertook to make arrangements for money to be paid direct to the individual. This is repeated from a previous inspection. The registered providers fitness as a registered Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: provider is not best demonstrated by repeated assurances that something will be done without appropriate action being taken. Care Homes for Adults (18-65 years) Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a comfortable, homely environment, which is clean and hygienic. Evidence: Tramway provides a homely environment with comfortable communal accommodation. The home is not suitable for wheelchairs as bedrooms are accessed by stairs with no stair lift or shaft lift facility, but the registered providers are aware of this and take this into account when assessing prospective residents. Bedrooms are available on the first and second floor. Each bedroom is individual and has been personalised. Six bedrooms are single with one double bedroom. Furniture and soft furnishings are satisfactory. Shared toilets and bathing facilities are available on each floor of the home. Bedroom doors do not have locks fitted. Four bedrooms have been completely refurbished and redecorated since the last inspection. Regular maintenance and testing of the premises is undertaken, to include; for example, hard wiring testing. The parking area to the rear of the property has been resurfaced since the last inspection. The home was found to be clean on the day of the inspection. The laundry is small and domestic in nature, but sufficient for the residents current care needs. The communal Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: dining and lounge areas are spacious and comfortable. There is a nurse call system, but this is not used at the moment. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider must do more to encourage and promote staff training. The home does not adhere to a robust employment procedure. Evidence: The inspector was advised that three of five members of staff have achieved the equivalent of NVQ Level 2 in care. This was discussed with the registered provider, as there was no supporting documentation in the two staff files inspected. The registered provider is aware of the need for new members of staff to be undertaking a National Training Organisation compliant induction programme. There are insufficient training records to determine current training needs or achievements. There is only one member of staff on duty at any time. There is an additional cover rota to allow for when extra staff are needed or for when staff sickness/absence means a replacement is needed. The personnel files for two staff members were inspected. The file for the newest member of staff showed: only one reference had been received, and this was not from the previous employer; there was no evidence of proof of identity having been established. Neither file showed evidence of staff supervision taking place, and Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: insufficient evidence of training achieved. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This is a small home, which is managed by the day-to-day involvement of one of the registered providers. The views of residents and others have not been sought. Residents benefit from a homely environment and a stable staff team. Relevant safety checks and maintenance is carried out. Evidence: The registered providers progress in undertaking the Registered Managers Award has not changed since the last three inspections, and the inspector was advised that it is now their intention to not complete this training and to appoint a manager as soon as possible. The registered providers fitness as a registered provider is not best demonstrated by repeated assurances that something will be done without appropriate action being taken. Either one of the registered providers has day-to-day involvement in the home. Many of the care staff have worked at the home for a considerable time. Staff were seen to interact well with residents and spend time talking with them. The management approach is relaxed, and the staff and people that live in the home would benefit from Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: a more pro-active approach to training, records, and managerial systems. The registered provider said that quality assurance questionnaires had not been sent to families since the last inspection. More could be done and discussion took place around the options for this, including publishing a summary of the findings. All the staff have received fire training, and the registered provider understands that the 3-monthly fire training provided needs to be maintained. We discussed the options available to vary the training provided. There is insufficient evidence of the staff training provided generally. The registered providers ensure that there is regular maintenance and safety checks of the equipment and premises. The registered provider advised the inspector that a copy of the current gas safety certificate would be faxed to the Commission by Friday 18th September 2009. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 23 20 The registered provider must make arrangements for people to receive monies due to them directly into their own accounts. This is to maximise independence and protect residents. 30/10/2009 2 32 18 The registered provider 30/10/2009 must determine current staff training achievements and training needs, and record staff training (including certificates). This is to ensure staff are trained to carry out the work for which they are employed, and to protect residents. The registered provider must ensure that a robust employment procedure is consistantly adhered to. 28/09/2009 3 34 19 Care Homes for Adults (18-65 years) Page 26 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This is to protect residents from abuse. 4 36 18 The registered provider 30/10/2009 should arrange for staff to receive regular and frequent supervision with an appropriate record kept. This is to ensure consistency in care provision and to protect residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The registered provider should ensure that care plans are reviewed as needed to include recent changes in health care needs. The registered provider should do more to demonstrate the involvement of other relevant agencies and people in determining risk-assessments. The registered provider should further consider the options available to allow residents privacy in their rooms if they so wish, and where appropriate (e.g. door locks). The registered provider should arrange for an appropriately qualified and experienced person to manage the home. The registered provider should ascertain the views of others about the service provided, and publish a summary of the findings. 2 9 3 16 4 37 5 39 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!