Inspection on 21/02/06 for Wamil Court

This inspection was carried out on 21st February 2006.

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

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

Other inspections for this house

Wamil Court 30/05/07

Wamil Court 12/07/05

Wamil Court 03/02/05

Wamil Court 03/01/04

Wamil Court 12/11/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Wamil Court Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JO Lead Inspector Jane Offord Unannounced Inspection 21st February 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 DS0000037380.V283676.R01.S.doc Version 5.1 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. DS0000037380.V283676.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wamil Court Address Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JO 01638 714751 01638 712664 maraa.hyland@socserv.suffolkcc.gov.uk 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) Suffolk County Council Post Vacant Care Home 33 Category(ies) of Dementia (15), Old age, not falling within any registration, with number other category (18) of places DS0000037380.V283676.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Wamil Court is a purpose built home for older people, situated in a quiet road not far from the centre of Mildenhall in Suffolk. It is a single storey building laid out around a central courtyard and has been completely refurbished and adapted to provide care for up to 33 service users. All service users who live at the home have their own bedroom with facilities. The home is divided into four units each of which has a lounge, dining room and kitchenette. Two units are for people with a diagnosis of dementia and the other two offer residential care to older people. There is a large communal lounge called the function room and a number of small seating areas around the home that offer quiet away from the main lounges. There are two laundry rooms, a hairdressing room, a small conservatory and a bar on site. Wamil Court is also the home to two cats. Wamil Court is owned and managed by Suffolk County Council. DS0000037380.V283676.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 9.30 and 16.30. It was a very cold day with some sleet showers but the home was warm and residents were appropriately dressed. During the course of the inspection three residents’ files and care plans, three new staff files, the medication policy, maintenance records, staff rotas and training files were all seen. A tour of the home was undertaken, a medication administration round was observed, the kitchen was visited, handover between the morning shift and the afternoon shift was heard and a number of staff and residents were spoken with. The manager was available throughout the day to assist with the inspection process. The administrator explained the system used to manage the residents’ personal money. The afternoon activities session was observed. On the day of inspection the home was clean and tidy. Staff were responding appropriately to residents’ needs and conversation between staff and residents was cheerful and caring. Residents were offered choice of where they would like to be and whether they wished to participate in activities or not. The meal served at lunchtime looked hot and appetising and residents said they enjoyed it. What the service does well: What has improved since the last inspection? DS0000037380.V283676.R01.S.doc Version 5.1 Page 6 All thirty-three residents’ bedroom doors have had automatic fire release closures fitted. Staff have received fire awareness training and most staff have had Protection of Vulnerable Adults (POVA) training. 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. DS0000037380.V283676.R01.S.doc Version 5.1 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 DS0000037380.V283676.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. People who use this service can generally expect to have their needs assessed before being admitted however they cannot be assured that the present Service Users Guide will offer the information they need to make a choice. The home does not offer intermediate care. EVIDENCE: Two of the three residents’ files inspected contained a STARS assessment completed before the resident entered the home. The third file contained an uncompleted form. The manager said they would investigate what had happened at that time as they do the assessments usually. The completed forms assessed needs under the headings of comprehension, communication, orientation, memory, mobility, washing and dressing, food and drink, swallowing, skin integrity, continence and medication. Other areas covered included social contacts, behaviour, anxiety, mood and sleep. A previous requirement to up date the Service Users guide has not yet been actioned. The present guide does not contain all the necessary information. DS0000037380.V283676.R01.S.doc Version 5.1 Page 9 DS0000037380.V283676.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use this service can expect to have an individual plan of care, be treated with respect, have their health needs met and be protected by the home’s medication policy and practice. EVIDENCE: The residents’ files seen all contained a plan of care that had evidence of regular review. There were interventions relating to personal hygiene, communication, continence, fears, diet including likes and dislikes. One entry said, ‘loves cheese omelettes and fish i.e. pilchards, tuna, sardines’. Another entry related to fears was, ‘lots of reassurance needed as unwilling to be alone’. The care plans also covered night needs, the residents’ preferred activities, special medication requirements such as anti coagulation treatment and nutrition needs. Two residents had regular weights recorded, as both had been very underweight on admission. The records showed that they had both gained weight and were eating well. Each file had risk assessments for skin integrity and moving and handling. One contained a risk assessment for the use of a wheelchair and the security lap strap. There were records of any falls sustained by the resident. DS0000037380.V283676.R01.S.doc Version 5.1 Page 11 The daily records were appropriate and informative. People who had visited residents were noted both relatives and health professionals. Visits to the hairdressers and chiropodist were recorded and any activities that the resident participated in. ‘Went to the carol service today’. ‘Had a lie-in this morning then had bread and butter with kippers for breakfast’. ‘Spouse visited today and stayed for Sunday lunch’. The files had a list of the health professionals and their contact details involved with each resident including GP, community nurse, chiropodist, hearing aid department, social worker and opticians. There was no record in the files seen that the residents’ final wishes were known. The manager said that there had recently been a number of small incidents related to medication administration. No resident had suffered any harm as a result of any incident and GPs and relatives had been informed each time. The manager had taken action in each case and had accessed further medication administration training for all the staff involved with medication. On the day of the inspection the lunchtime medication round was observed. Practice was safe on that day. The cupboard or trolley was locked each time the carer left them, medication administration records (MAR sheets) were correctly completed with signatures or appropriate codes, and reasons for nonadministration of medication were recorded on the reverse of the MAR sheet i.e. ‘fasting blood sugar done so medication not given until 10.00am.’ There was a list of signatures of all staff trained to give medication at the front of the MAR sheets folder and medication that was refused was kept to be destroyed and a record made. Not all charts had a recent photograph of the resident for identification purposes. The manager said this is being rectified. The medication policy was seen and contained guidance for assessment of residents who wished to self medicate and for the covert administration of medication. There was no procedure for the use of ‘homely’ remedies but the manager said they did not ever use them. Staff were observed interacting with residents to ensure they were comfortable and where they wanted to be. Some residents with dementia needed frequent reassurance that things were alright and this was readily and patiently given. The help offered with meals and medication was sensitive and at a pace that suited the resident. Staff knocked on doors before entering rooms and discreetly helped residents with more personal needs. DS0000037380.V283676.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use this service can expect to have suitable activities offered to them, be encouraged to maintain contact with their family and friends and receive well-balanced meals. EVIDENCE: The home has three part time activities carers who cover Monday to Friday from 9.00-17.00. On the day of inspection there was a film show in the function room during the morning that was well attended by the residents. Some residents were preparing decorations for a planned St. Patrick’s day celebration. Cardboard cut out shamrocks were being painted green in the morning and cardboard tankards of Guinness were being coloured in the afternoon, with the aid of several cups of tea and some biscuits. The activities carer said that they intended to have a tea party with games, a raffle and Irish music on the day. The home’s bar would be opened and family and friends would be invited to join the residents. In the unit dining rooms it was noted that there were decorated pots of spring bulbs. The staff said these had been done and planted during activities sessions. More pots had been decorated with pumpkin seeds and were to be painted and planted ready for the Summer Fete. DS0000037380.V283676.R01.S.doc Version 5.1 Page 13 The activity carer plans to apply for bus passes for the residents so they would qualify for reduced rates when they use ‘Dial-a-Ride’. They would like to take small groups of residents shopping or out to afternoon tea and using ‘Dial-aRide’ would help facilitate that. A big outing to Felixstowe is planned for the summer and trips to Abbey Gardens are a possibility. The carer regularly takes some male residents into Mildenhall town to the barbers and they enjoy keeping up with developments in the town. One resident said, ‘I have such fun here. There is always something happening’. Residents’ files recorded the name, relationship and contact details of their next of kin. Daily records noted when a resident had had a visitor. There were some visitors in the home on the day of inspection. Residents and staff said there was no restriction on visiting and residents could entertain their guests where they chose. The lunchtime meal was cod in cheese sauce with vegetables and mashed potato. The vegetables were in serving dishes on the tables for residents to help themselves. One resident decided they did not want cod so the staff opened a tin of salmon for them. The dessert was a fruit fool or ice cream was available too. For any resident not wanting the main dish there were alternatives available of jacket potato, omelette, salad or soup. Most residents said they had enjoyed their lunch only one said it had not been to their liking but they had enjoyed the pudding. Simple breakfasts of cereal and toast are prepared in the unit kitchenettes. Porridge is prepared in the main kitchen and there is a cooked breakfast offered twice a week. DS0000037380.V283676.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18. People who use this service can expect that they will be protected from abuse. EVIDENCE: Following the last inspection when a requirement was left for staff to receive updated Protection of Vulnerable Adults (POVA) training the manager said that had been achieved. Care staff and domestic staff spoken with confirmed that, with the exception of the chef. All the staff spoken with, including the chef, were clear about their responsibilities in relation to any concerns or suspicions of abuse. The staff training files contained evidence that POVA training had taken place. DS0000037380.V283676.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25, 26. People who use this service can expect to live in a well-maintained and comfortable home with specialised equipment available to help maintain their independence if required. EVIDENCE: On the day of inspection the home was clean and tidy with no unpleasant odours. The décor looked fresh and the furnishings were attractive. There is a handy person employed by the home for maintenance work inside and outside the building. They were observed replacing dud light bulbs in the communal lounges. Records were seen of routine maintenance checks and contracts for external window cleaning and waste disposal. An annual check by Jordan Environmental that was done in January 2006 on the water system showed that the temperatures of all the boilers and outlets was satisfactory. DS0000037380.V283676.R01.S.doc Version 5.1 Page 16 Residents with reduced mobility had a range of sticks, frames and wheelchairs available depending on their assessed need. Some special recliner armchairs were in use and a number of footstools to raise residents’ legs. Residents at risk of developing pressure sores had pressure-relieving mattresses on their beds. The home is a single storey building with level access to the gardens from each of the four units. There are two laundry rooms that are managed by a dedicated member of staff. Both rooms have machines with a sluice wash programme. The laundries are kept locked when no one is in attendance. Large items of laundry like bed linen and towels are contracted out. Hand washing facilities were available and stocked. The infection control policy was seen and is explicit about the management of soiled linen and the disposal of continence pads. Staff said protective clothing was available for any ‘dirty’ task. Staff were observed wearing gloves appropriately. DS0000037380.V283676.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29, 30. People who use this service can expect to be cared for by staff who are correctly recruited and trained to do the work. EVIDENCE: The staff duty rotas were seen and showed that there was management/senior staff cover from 7.00- 22.00 daily including weekends. There were five carers on an early shift; five on a late shift and two with a team leader cover night duty. In addition there was domestic cover for each unit, two kitchen staff daily, the handy person Monday to Friday, three part-time activities carers and an administrative assistant from 9.00-13.00 during the week. Staff spoken with agreed that the levels of staffing were suitable for meeting the residents’ needs. The files of three new staff were inspected. None of them had an up to date photograph of the member of staff, a photocopied passport photograph was being used. The manager was aware of this and was addressing the omission. Two of the files had evidence of all the checks required by the National Minimum Standards (NMS) but the third only contained one reference. The manager agreed to follow that up but felt sure there had been a second that may have been mis-filed. There was documentary evidence that new staff have a review of their practice and capability after nine weeks in post and again after eighteen weeks. DS0000037380.V283676.R01.S.doc Version 5.1 Page 18 There was documentary evidence that new staff have induction training and this was confirmed by the staff spoken with. Care staff do a special ‘carer induction’ course that runs over two and a half days. Other training that staff had undertaken included moving and handling, fire awareness, basic food hygiene, health and safety, Control of Substances Hazardous to Health (COSHH) regulations, understanding dementia and working with older people. As noted earlier POVA training has recently been updated for the majority of the staff and medication administration training has also been updated. DS0000037380.V283676.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35, 36, 38. People who use this service can expect to be cared for by properly supervised staff and have their financial interests protected however they cannot be assured that all food stored is correctly labelled. EVIDENCE: The administrator patiently explained the system used by the home to manage residents’ personal money. They said that some residents manage their own affairs and there is a lockable drawer in their rooms for safekeeping of valuables and the home will provide a lockable cash tin if requested. For residents whose money is managed by the home there is a record of each expenditure and receipts are kept. The home has a petty cash float and any cash for residents taken from that is replaced from the resident’s savings account that is held by Suffolk County Council. Interest is paid on money saved and statements are issued to the residents twice a year. One resident’s file seen contained statements from their account. DS0000037380.V283676.R01.S.doc Version 5.1 Page 20 The staff files seen contained supervision agreements and records of supervision sessions. Supervision happens monthly and the records showed that the discussions range over training, care practice, individual residents’ needs and staff issues. The notes were signed and dated. There was evidence of 1:1 supervision and group supervision taking place. Staff spoken with confirmed they had regular supervision and the manager said she had a supervision appointment with a member of staff that day. The home has a number of environmental risk assessments for potential hazards around the building. The folder contained risk assessments for the use of the foot spa, unattended housekeepers trolleys, front door security, smoking, the pond in the grounds, slippery paving slabs when wet, outside lighting, tree maintenance and the hot water urn in the staff room. There were also some generic risk assessments to cover the use of wheelchairs, the use of electrical equipment, bathing residents and making beds. Since the last inspection all thirty-three bedroom doors have been fitted with automatic fire closure devices. Fire safety records were seen. Documentary evidence was seen for repairs to the fire alarm and for fitting a new fire extinguisher. The home has a comprehensive COSHH reference folder that lists all the chemicals found inside and outside the building. There is a description of the substance, typical reactions to it, treatment in an emergency and the correct disposal of it. It covers detergents, weed killer, sealants, varnish, descaler and photocopier ink among others. In the kitchen, which was clean and tidy on the day of inspection, it was noted that left over food stored in the refrigerator was labelled only with the day of the week that it was kept. The food was not identified and the weekday not the date leaves room for error. Temperatures of all freezers, refrigerators, hot trolleys and food probes were seen and were within safe limits. The temperature of some delivery vans was recorded but not the ones delivering meat. DS0000037380.V283676.R01.S.doc Version 5.1 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 1 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X 3 X X 3 3 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 2 DS0000037380.V283676.R01.S.doc Version 5.1 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 OP3 Regulation 14 Requirement All prospective residents must have an assessment of their needs undertaken prior to being admitted to the home. Efforts must be made to ascertain the final wishes of residents and record them in their personal records. All MAR sheets must have a recent photograph of the resident attached for identification purposes. All staff files must contain a recent photograph of the staff member. This is a repeat requirement. An up to date Service Users’ Guide must be produced to inform prospective residents about the service. This is a repeat requirement. The system for dating and labelling left over food must be reviewed to avoid any ambiguity. Timescale for action 21/02/06 2. OP7 15 (1) 31/03/06 3. OP9 13 (2) 21/02/06 4. OP29 19 (1)(b) (i) Sch. 2 5 (a)-(f) 31/03/06 5. OP1 31/03/06 6. OP38 13 (4) (c) 31/03/06 DS0000037380.V283676.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 18 30 38 Good Practice Recommendations All ancillary staff should receive up to date POVA training. Activities carers should receive training in working with people with dementia. The temperature of the refrigerated vans that deliver raw meat should be ascertained and recorded to ensure the meat has been transported in safe conditions. DS0000037380.V283676.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 DS0000037380.V283676.R01.S.doc Version 5.1 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!