Inspection on 20/03/07 for York House

This inspection was carried out on 20th March 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

York House 15/12/05

York House 25/07/05

York House 11/01/05

York House 13/04/04

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 York House 47 Norwich Road Dereham Norfolk NR20 3AS Lead Inspector Ann Catterick Unannounced Inspection 20th March 2007 09:00 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 York House DS0000055141.V333963.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. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service York House Address 47 Norwich Road Dereham Norfolk NR20 3AS 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) 01362 697134 headoffice@blackswan.co.uk Black Swan International Limited Celia Joy Hart Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: York House is a home accommodating thirty one older people, situated about half a mile from the centre of the town of Dereham. It was first opened in 1982 and is now owned by the company Black Swan International Limited. The front of York House is an older two-storey building with a passenger shaft lift to reach the upper floor. At the back of the building is a single storey. The town of Dereham has a reasonable range of amenities including shops, public houses and churches. There is public transport available. The cost of a placement in the home is from £274 to £353 a week. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place on the 20th of March 2007. The site visit took place over a period of 7.5 hours. Prior to the inspection visit 10 comment cards were received from service users, four from relatives and three from health professionals. All comments were positive and some have been included within the report. The manager completed a pre inspection questionnaire with informing us of other relevant details about the home. The inspector was able to speak with the manager, senior staff, carers, service users, relatives and visitors. The inspector was also able to inspect files, documents and have a tour of the building. All of those people spoken to made positive comments about the home and overall it was felt that the home provides a good quality of care. What the service does well: Care plans were detailed and user friendly offering the information needed to enable staff to meet the service users individual needs. Activities are promoted and encouraged within the home and staff have enough time to spend talking with and participating in activities with service users. The meals in the home are nutritious, appetising and well presented with choice and variety being offered. Staff enjoyed their work and were offered the training and support to fulfil their role to the full. The home is well managed and the management style is open and transparent. The proprietors take an active role within the home and staff find them approachable and supportive. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. York House DS0000055141.V333963.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 York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a Service User Guide that gives service users and their families all of the information needed to enable them to make an informed decision about whether or not the home would meet their need and be to their preference. Prior to admission a comprehensive assessment is made to ensure that the home will be able to meet need. The home does not offer intermediate care. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home has a Statement of Purpose and Service User Guide that give all relevant information about the home and what services are provided. Some of the information is inaccurate and needs to be revised. For example the information about the shower room is not accurate and it does not inform the reader that the manager is now a registered manager. A recommendation has been made in this area. Prior to service users being admitted to the home the management team complete their own pre admission assessment and ask for assessment from the placing health or social care person who is involved in the placement. If the prospective service user is being admitted from hospital information will be asked for from the hospital staff. Evidence of this was seen on file. All of those service users seen appeared to be having their needs met. In the past service users have been admitted to the home with a diagnosis of dementia but the manager informed the inspector that this would not happen now as she is aware that the home does not have a registration for caring for people with dementia. The home does not offer intermediate care. Comment from service users “It was a rush to get me into a home but my family chose York House out of several places.” “One of the carers came to see me in hospital and told me all about the home and brought me a brochure.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of service users are set out in an individual care plan that identifies how their needs will be met. Service users are having their health needs met within the home. The home has a policy and procedures to ensure the safe care and administration of medicines. Service users where seen to be treated in a respectful way with their dignity and privacy protected and promoted. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 11 EVIDENCE: Several care plans were seen and good practice was evidenced in this area. Care plan have a front page with a photograph and information needed at a glance, for example date of birth, date of admission and next of kin. Personal care and health needs are identified as well as hobbies and preferences. Goal and objectives are identified and reviewed on a regular basis. Risk assessments are included in regard to bed rails, pressure care, smoking, challenging behaviour and gender sensitivity and any other area that is relevant to the service user. Service users spoken with felt their personal and health needs were being met. Staff have a good knowledge of the needs of service users and are confident that they are able to meet the individual needs and preferences of service users. The policy and procedures regarding medication were seen and the administration of lunchtime medication was observed. Medication is stored safely and all medication received in the MDS system is recorded as received when it comes in. It was more difficult to audit boxed medication and the home needs to ensure a clear audit trail with these medications to ensure they can be sure of how many medications they have in the home. A requirement has been made in this area. Service users where seen to be treated in a way that promoted privacy and respected their dignity. One example of this that when having morning and afternoon drinks some people had china cups and saucers, others had china mugs and others had specialised mugs due to special needs. Staff were able to give examples of how they promoted dignity. There were some areas where dignity was not fully promoted. The home is limited on storage space and when visiting bedrooms large packets of continence pads were in the room in full view of any visitors to the room. It should not be evident who does or does not need continence aids and these should be stored discreetly in the bedroom or when there are excess in a storage area. Chairs in one of the lounges all had a paper continent sheet on to protect the furniture. With good continence management and chairs that can be easily cleaned this should not be necessary. A recommendation has been made in this area. Comments made by service users “People treat me with respect. If people thought I had lost my marbles I would be very cross.” “Very nice people here.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 12 Comments by staff “We treat people with dignity, always introduce yourself and always knock on doors.” “When using the hoist ensure this is done in a dignified way.” “Some of the staff listen, others do not.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 13 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. The preferences and expectations of what service users like to do are established and staff aim to ensure that expectations in these area are met. Visitors are always made welcome within the home. Service users are encouraged to be as independent and possible taking responsibility for as many areas of their lives as they are able. Service users receive a nourishing balanced diet in comfortable surroundings. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 14 EVIDENCE: Service users spoken to felt that the home met their expectations. The home has an arts and crafts person who visits the home on a regular basis, a person visits to play the organ. Staffs have the opportunity to spend time involved with residents in and outside the home. For example a service user who smokes is taken in a wheelchair to the tobacconist to enable him to purchase his own cigarettes. On the afternoon of the inspection some service users were playing bingo and another was playing cards with her family. Service users are able to spend time in their own rooms spend time in the communal areas depending on their preference. Visitors are always made welcome in the home and those visitors spoken to were positive about the care their relatives received. Service users are encouraged to make decisions and have choice in their lives. Service users who are able look after their own finances and the home has some looked after money for those service users who do not wish to look after their own money. All service users spoke very positively about the meals provided in the home and on the day of inspection the lunch time meal looked appetising and nutritious. The lunchtime meal was served to people in their bedroom if this was their choice or in the attractive and well presented dining area. All staff who work in the kitchen have their food hygiene certificate. Service users were offered their lunch on two different size plates depending on how much they liked to eat. This was seen as evidence of person centred care and good practice. Comments made by service users and visitors “Food is good, I would say if not.” “Care is good and cannot fault it.” “Quite happy here.” “We have sing-along and I take part.” Comments made by staff “Residents can get up and go to bed when they like.” “Always offer residents choice.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. The complaints policy and procedure is part of the Service User Guide and is made known to service users and their families. The home has a policy for the protection of vulnerable adults and staff receive training in this area. EVIDENCE: The home has a policy and procedure for complaints and this is included in the homes Statement of Purpose and Service User Guide. The home has received no complaints since the last inspection. Service users said they would be comfortable to speak to management or staff if they had any concerns or complaints. The CSCI received a general anonymous concern suggesting that service users were got up early when this was not what they wanted. This was discussed with the manager and she informed the inspector that service users chose when they wished to get up. This could be very early or it could be very late. Staff supported this view. When speaking to service users they all said that they could go to bed and get up when they liked. Therefore it was concluded that the area of concern was unsubstantiated. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 16 The home has a policy and procedure for the protection of vulnerable adults and staff have training in this area. All staff spoken to were aware of the whistleblowing policy and said they would always report and poor practice. Comment from a service user “I have never had to make a complaint but would talk to the manager first.” “I would speak to the manager.” Comment from staff “I would always report poor practice, but this is a good home and I enjoy working here.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 17 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, 20, 21, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally the environment is well cared for and maintained. There is opportunity for further improvement within the environment. All areas of the home were clean and hygienic on the day of inspection offering a comfortable place for service users to live. EVIDENCE: The inspector was able to see the Annual Plan for the home and this included some improvements to the environment. The home has a part time handyperson and a housekeeper who both contribute to the general maintenance of the home. Staff informed the inspector that the new proprietors had made significant improvements to the environment. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 18 Communal areas are attractive and welcoming with service users favour using the two large main lounges. A small lounge area has been created upstairs and offers a quite private area if service users choose to use it. The home has three bathrooms but one of these is not in use and is awaiting replacement. The home has one shower but as this has a high step up it is not used by any service users at the present time. There are plans to make this room a walk in shower room. Two bathing facilities for 27 service users are not enough. The proprietor has some plans to improve this area. A recommendation has been made in this area. Bedrooms seem were comfortable and individual and service users had made their bedrooms very personable and homely with many of their personal belongings around them. There is a shortage of storage space within the home. The cupboard where wheelchairs are stored was overflowing and wheelchairs were outside of the cupboard, causing a hazard in the corridor. On the day of the inspection the manager moved some of the wheelchairs to an empty bedroom. In the downstairs lounge two hoists were being stored and this was not the appropriate place for them to be because they could be a risk to service users as well as not fitting the ambiance of the room. A requirement has been made in this area. Staff do not have their own staff room and when staff come on duty they get ready for work in an area outside the managers office and if they have any bag or valuables they leave these in the manager’s office. They have no locker facility. They have no room to be in when it is their break time. A recommendation has been made in this area. Not all radiators are covered. Those in the bathrooms without cover could be a risk to service users. A requirement has been made in this area. The home has two service users who smoke and there is no designated area for them to do this without it having an effect on other service users. At present they smoke in the dining room when other service users are not in there. This is not acceptable and a separate provision needs to be found. A requirement has been made in this area. The home was clean, well cared for with no offensive odours on the day of inspection Comments from service users “I have a pleasant bedroom.” “Enjoy spending time in the lounges.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. There are enough experienced staff working in the home at any one to meet the needs of service users. Staff are offered the appropriate training to support their practice and develop their skills. The home has a safe recruitment and selection process that ensures that staff who are appointed within the home are fit to fulfil their role. Some staff have NVQ level 2 and some staff are waiting to complete this qualification. All new staff are provided with and induction programme to introduce them to the work they are to be involved in. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 20 EVIDENCE: The home appears to have enough experienced and trained staff working in the home to meet the needs of the service users. Staff said that they had enough time to meet the personal and health needs of service users as well as have enough time to spend on a one to one with service users. Evidence of this was seen on the day of inspection. Thirty two percent of staff have NVQ level 2 and some staff are waiting to complete this. The home has a training profile for all staff and this offered clear information about what training staff had completed and highlighted any gaps or when training needed to be updated. This was seen as good practice. The home has clear recruitment and selection processes and procedures. Several staff files were inspected and these were seen to have all of the relevant information needed on file prior to the member of staff being appointed. Staff receive an induction and evidence of the common induction standard were seen on file. Comments from staff “I feel there are always enough staff on duty and would recommend this home to family or friends.” “Good staff team and support from the manager.” “Offered lots of training.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team within the home have a wealth of experience in the care field and are able discharge their responsibilities in full. The home has a quality assurance system that monitors the quality of care provided and helps the home to continue to develop and improve. All staff receive formal supervision. The policies and procedures within the home encourage and inform good practice. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager and deputy have both worked in the home for a number of years and are competent and capable in their roles. The manager is considering completing training in management, as she does not have a qualification in this area. The manager does not have access to a computer or the internet. This is a way of communicating as well as receiving information and keeping up to date with common practice and would be seen as an asset to the home. A recommendation has been made in this area. All staff and service users spoken to spoke positively about the manager and senior staff saying they were supportive and easy to talk to. The management complete a quality audit on a monthly basis and use questionnaires as a way of gathering information from service uses. The home has staff and residents meeting and the notes of these are recorded. The home looks after some money for service users. This money is kept individually in the safe and all monies in and out is recorded with the service user or staff signing to witness the transaction. Three service user’s money was audited and found to be correct. Staff receive formal supervision and evidence of this was seen on file. All care staff have training in areas relating to safe working practice. Evidence of this core training was seen within the training profile for the home. This included first aid, basic food hygiene, manual handling, fire safety, medication and adult protection. Chemicals are stored safely. Accidents and incidents are recorded in the running records and on incident and accident forms. Evidence of this was seen on file. Staff receive appropriated induction and foundation training. Comments made by staff “Had a good induction, complete 4 or 5 shadow shifts.” “Have regular supervision.” “Very supportive manager and a good proprietor.” “Good home I enjoy working here.” York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 23 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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 2 3 2 x x 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 (2) Requirement The registered person must ensure that they have records of all medication in the home and that these records can be audited. This relates particularly to medications that are received into the home in boxes and not the MDS system. The registered person must ensure that the home provides enough storage space for equipment. This is to ensure that equipment left in communal areas is not a hazard to service users. Timescale for action 01/05/07 2 OP19 23 (l) 13 (4) a 01/05/07 York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 25 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. 4. Refer to Standard OP10 OP10 OP20 OP21 Good Practice Recommendations It would be good practice to have continence pads out of site in the bedrooms to promote the dignity of the service user. It would be good practice to remove all paper continence sheets from chairs in the lounge area and address any continence difficulties in a different way. The manager should find an alternative way of offering a smoking area for service users other than using the dining room when it is not in use. It would be good practice to make the third bathroom or the shower room usable as soon as is possible. York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 York House DS0000055141.V333963.R01.S.doc Version 5.2 Page 27 - 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!