Care Home: Pennine View

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What the care home does well People had good care plans to show what help they needed.Staff listened to people living at the home so that they knew how to make the home good.People had choices about what to do, who to see and what to eat so that they enjoyed their time.Staff had good training so that they could help people. People were kept safe. What has improved since the last inspection? This is the homes first inspection. What the care home could do better: Some records needed a bit more information so that they could be checked properly. Key inspection report Care homes for adults (18-65 years) Name: Address: Pennine View 7 Ferrara Close Darfield Barnsley S Yorkshire S73 9RB The quality rating for this care home is: two star good 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: Janis Robinson Date: 1 2 0 1 2 0 1 0 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 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 © (2010) 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: Pennine View 7 Ferrara Close Darfield Barnsley S Yorkshire S73 9RB Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Gary Hurlstone Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 2 0 care home 2 Emerald Care Services Limited learning disability Additional conditions: 1 The maximum number of service users who can be accommodated is: 2 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability, Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 28 A bit about the care home Pennine View can look after two people that need support. The home is a bungalow. It has two bedrooms and a lounge dining room. It has a private garden and space to park a car. You can get written information about Pennine View from the home. It is easy to understand. It costs from £1,750 to £3,800 to live there each week. 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: two star good 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 Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home We looked at some records to make sure things were done properly. We talked to staff to find out about working at the home. We talked to a person living at the home to find out what it was like living there. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well People had good care plans to show what help they needed. Staff listened to people living at the home so that they knew how to make the home good. People had choices about what to do, who to see and what to eat so that they enjoyed their time. Care Homes for Adults (18-65 years) Page 8 of 28 Staff had good training so that they could help people. People were kept safe. What has got better from the last inspection What the care home could do better Some records needed a bit more information so that they could be checked properly. Care Homes for Adults (18-65 years) Page 9 of 28 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Janis Robinson St Pauls House 23 Park Square (South) Leeds W Yorkshire LS1 2ND 01132204600 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out 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 10 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 11 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. People were provided with written information about the home in a suitable format so that they had an informed choice. Assessments were carried out to ensure that all needs were identified and could be met. Evidence: A service user guide and statement of purpose were in place. A copy of the service user guide was on display in the entrance area. It had been written in an appropriate format and included pictures and symbols. Copies of the guide were also seen in peoples bedrooms. This ensured that important information was accessible to people. The files of the two people living at the home were checked. They both contained an assessment carried out by the registered manager. The assessments were comprehensive and covered all aspects of health, personal care and daily living. They also included information on self esteem, communication, relationships and independence. The files contained information from social workers and other health professionals so that full details had been obtained. This ensured that peoples needs were fully identified. The information gathered at assessment was reflected in the care plans checked, so that Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: accurate information was provided to staff. Care Homes for Adults (18-65 years) Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person had a detailed care plan so that their individual needs could be met. Risks had been identified so that safety was promoted. People were assisted to make decisions so that they had choice. Evidence: Both people living at the home had a written care plan, which were checked. The care plans contained comprehensive detail and included the actions required of staff to make sure individual needs were met. The plans referred to peoples daily routines, their preferences and wishes so that these could be respected. The plans also gave very detailed information on behavior and communication so that staff had relevant information. The plans gave a very clear picture of the person, and how their needs could be met in a way that respected them. Where they were able, people had signed their plans to show that they had been involved in writing them. The plans had been evaluated on a monthly basis to make sure they were up to date. All staff had been provided with training on person centered care. The staff spoken with were knowledgeable about the people they supported. They could describe the person in detail and were aware of their wishes and preferences. They spoke of the people living at the home as individuals, with Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: respect, and did not just provide a list of their needs. One person spoken with was aware of their plan and said that staff talked to them about it. They commented, It is good here. People were able to make decisions about their lives, within agreed limits, so that they were safe. Staff were observed talking to people about choices available to them. The care plans checked evidenced that people had been involved in decision making, and their views had been taken into account. Both files checked contained comprehensive risk assessments so that people could take agreed risks whilst maintaining their safety. The risk assessment detailed the identified risk and the action needed to minimise the risk. They covered all aspects of daily life and included finance, manual handling, challenging behavior, community contact, medication and bathing. The risk assessments were dated and a review date had been identified to make sure they remained up to date. One person had signed their risk assessments to show their agreement. A policy on confidentiality was in place and on display in the office, to maintain peoples privacy and rights. The staff spoken to were aware of this. Care Homes for Adults (18-65 years) Page 15 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. People were provided with a range of leisure and social opportunities, and a varied diet, so that they led the lifestyle they chose. Evidence: Discussions with staff and details recorded on care plans showed that people were provided with a range of education and leisure opportunities. One person attended two different social clubs on a weekly basis, and had weekly computer lessons. The activities provided were varied so that people had a choice. They included trips to local shops, cinema, meals out, line dancing and swimming. A car was provided to facilitate trips out of the home. Staff promoted choice and independence and were observed asking people their preferences throughout the day. To assist peoples independence, picture cards were available that showed a variety of activities so that people could communicate their choice. On the day of the inspection one person chose to go shopping with staff, and one person went for a drive with staff. One person had been identified as needing two staff on trips out, so that any challenging behavior could be managed and to minimise risk. Extra staffing was provided each day so that activities and trips out could take place. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Both people living at the home had regular contact with their relatives, so that their relationships were maintained. The routines at the home were flexible. One person said that they could go to bed when they wanted and get up when they wanted on days when they were not attending weekly clubs. They said they could spend time in their room listening to music if they chose. The care plans checked detailed morning and evening routines so that peoples preferences were known, and to provide safe and familiar routines where people needed this. One member of staff spoken with commented, We give people independence. People live their lives as they choose. Records of food checked showed that a varied diet was provided. People helped to plan the weekly menu so that their choices and preferences were respected. One person was provided with picture cards showing different foods so that they could communicate their choice. Sufficient food stocks were seen, which included fresh vegetables and fruit to promote health. Staff were observed offering food choices for lunch so that peoples preferences could be respected. Care Homes for Adults (18-65 years) Page 17 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. Peoples health and personal care needs were met. Evidence: The two care plans checked contained comprehensive detail on peoples personal care and moving and handling needs. The plans gave clear and specific detail about the staff actions required to make sure identified needs were met. This ranged from verbal encouragement and prompts, to full assistance with personal care. This showed that peoples diverse needs had been identified. The plans included information on peoples preferences, and gave information on how they liked to be assisted. The plans gave clear detail of what actions were required of staff so that people were supported in a way that people could deal with, and did not create the potential for challenging behavior. The staff spoken with were knowledgeable about individual needs, and could describe the action to take to meet these in detail. The care plans checked and discussions with staff showed that peoples health was monitored and promoted. All contacts and appointments with health care professionals were recorded so that information was up to date. One person had a weight chart and bowel chart to assist with monitoring health and diet. A written policy on medication was in place and seen by us. The training records checked Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: showed that all staff had been provided with training in safe medication administration. Medication was stored securely so that it was kept safe. Medication administration records (MAR) were checked. These had been fully completed and the details recorded on MAR tallied with the drugs held. Both care plans contained a medication profile and risk assessment. One risk assessment had been signed by the person living at the home, as he was able to do so. This showed that the assessment had been written with his agreement. Care Homes for Adults (18-65 years) Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and safe guarding procedures minimised the risk of harm to people. Evidence: A complaints policy was on display in the entrance area. This contained relevant detail and included our contact details should people wish to use it. The policy was also summarised in a format that was easy to read and understand. This summary included pictures and symbols to assist people. No complaints had been received by the home. However, there was a complaints book accessible to all staff so that they could record any complaints. The trainee manager confirmed that all complaints would be recorded and detail the action taken and the outcome of the complaint. This would ensure that all relevant information was available and complaints could be monitored. A policy on safe guarding was in place. This included the local authority guidelines so that staff had full information. One person who was able to verbally communicate said that they felt safe living at the home. They said that if they were unhappy they could talk to staff. They also commented, Staff look after me. The training records checked showed that staff had been provided with safe guarding training. The staff spoken with were aware of the action to take if they suspected abuse or if an allegation was made. Staff could also describe the different types of abuse. This ensured that peoples safety was promoted. Care Homes for Adults (18-65 years) Page 20 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. The environment was well maintained, well equipped, clean and homely so that people had a pleasant place to live. Evidence: The environment was checked during the visit to the home. The home was a bungalow so that all accommodation was provided on one floor. All parts of the home were clean and appeared well maintained. There was a large lounge dining room, one bathroom and one kitchen. Communal space had homely touches, such as pictures and ornaments, so that people had a pleasant place to live. There was a separate office and separate sleeping in room for staff so that the running of the home did not impinge on peoples space. Both people living at the home had their own bedroom. One had an en-suite bathroom and one had a toilet and washbasin. One person showed me their bedroom. It was well personalised and reflected individual interests. The person said they were happy with their room and had everything they needed. They commented, It is nice. Care staff undertook cleaning duties to maintain hygiene. Protective gloves were available to staff so that safe procedures were adhered to. Care Homes for Adults (18-65 years) Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff training, recruitment and supervision promoted peoples safety. Evidence: The staff spoken with were aware of their role and understood the roles of other staff. They confirmed that they had been provided with the General Social Care Council (GSCC) codes of practice so that they had information about the expectations of their role. The interactions observed between care staff and people living at the home appeared respectful and caring. People living at the home were comfortable approaching staff and communicating with them. This showed that staff had developed good relationships with the people they supported. National Vocational Qualifications (NVQ) training was provided to staff so that they had the right skills and knowledge for their job. Of the nine care staff, 6 had achieved NVQ level 2 in care, 2 staff were undertaking the training and one staff was waiting to start the qualification. This is over and above the recommended 50 percent of the staff team trained to NVQ level 2 and is commended. The staff rota checked showed that sufficient numbers of staff were provided to meet peoples needs. Two staff were always on duty and extra staff worked in the afternoons so that trips out could be accommodated. During the night there was one waking night staff and one sleeping night staff available so that people were safe and their needs could Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: be met. The staff spoken with said that there were regular staff meetings so that they could share information and keep up to date. Comments included, I feel listened to. We can have our say and add to the agenda. It is a good team. The training is very good and gives you confidence. Two staff recruitment files were checked. They contained the majority of the required information and included an application form, two references and full employment history. However, one of the files checked did not contain evidence of proof of identity. The trainee manager and deputy manager stated that these had been obtained and seen, but were kept at the homes head office. Both files contained a Criminal Records Bureau (CRB) check that had been obtained prior to commencement of employment. This ensured peoples safety was promoted. A programme of staff training was in place to make sure staff had the right skills and knowledge. A training matrix was kept so that staff training could be monitored and provided at relevant intervals. All of the staff spoken to said the training provided was Good. The matrix showed that relevant training was provided which covered autism and epilepsy awareness, dealing with challenging behavior, makaton, person centered care and equal opportunities. However, the matrix indicated that some staff had not undertaken all aspects of this training. Whilst staff confirmed that they had attended training events and were awaiting their certificates, the matrix had not been updated to reflect this. In addition, six carers had not attended training on dealing with challenging behavior. The trainee manager explained that a recent course had been canceled and staff were booked to attend the next training event. Staff spoken with and records checked showed that staff were provided with regular supervision so that they were appraised and supported. Care Homes for Adults (18-65 years) Page 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well managed, systems were checked and serviced to maintain peoples health and safety. Evidence: The registered manager, Gary Hurlstone, had regular contact with the home. A trainee manager, Kerry Egbury, was in place to deal with the day to day running of the home. The trainee manager had experience of supporting people with challenging behavior and had commenced the registered managers award so that she had the relevant skills for her job. It was anticipated that the traineee manager would apply to us to be the registered manager. All of the staff spoken with said that the trainee manager was approachable, supportive and a good listener. A quality assurance system was in place to obtain and respond to peoples views. The manager stated that questionnaires would be sent to people living at the home, their relatives and relevant professionals on an annual basis. Responses would be summarised in a report so that these were available to people. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: In the AQAA the manager stated that a health and safety policy was in place. Records checked showed that systems had been checked and serviced to keep people safe. Fire records were checked. These showed that weekly fire alarm and emergency lighting checks took place to make sure equipment was in safe working order. Records of practice drills were checked. These showed that regular fire drills took place so that staff knew how to respond in an emergency. However, the records only detailed the numbers of staff and did not include names so that this could be monitored to make sure all staff took part in a drill. A programme of induction and mandatory training was provided to staff that included moving and handling, fire, health and safety, and infection control. The staff spoken with said that they had undertaken this training, to ensure that they had the right skills and people were kept safe. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes  No  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 26 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 Description 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 Description Timescale for action 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 2 3 34 35 42 Proof of identity should be kept in staff recruitment files so that this is available for inspection. Records of staff training should be maintained up to date so that this can be monitored by the manager. Records of fire drills should detail the names of staff participating in the drill so that this can be monitored by the manager. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or 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 © (2010) 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!