Care Home: The Old Rectory Nursing Home

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People who used the service and relatives are satisfied with the care and support that is provided at the home. The home is well managed and efforts are made for its continual improvement. There is a good and committed staff team, which works well together to make sure that people receive a good standard of care. The service provides good training and development opportunities to its staff to ensure they have the necessary skills and competence to do their work. The home provides a good, clean, pleasant and safe environment for the enjoyment of people who live in it. What has improved since the last inspection? Since our last inspection (June 2007), a wide ranging refurbishment programme has been undertaken to improve the physical environment. This has involved some structural changes in order to provide new facilities. These include a new medicines room, a room for relatives to stay overnight if required, new bathing facility and new staff and training rooms. The communal and private areas have also been decorated. New lightings and new furnishings have been provided. These changes have made the home a more comfortable and pleasant place to live and work in. Additional dedicated staff hours have been provided and this has improved the provision of social and recreational activities at the home. Staff training and development has progressed well. A training officer has been appointed to make sure that all staff get the maximum help and support to meet their training needs. The home was working towards the `Investors in People` award. What the care home could do better: Although there was a sufficiently robust care planning system in place, staff should make sure that they improve the way they record the care that is provided to people. They should give relevant information about the care given. This would help in more effective evaluation and review of individual care. As part of the refurbishment work that is on-going, we have highlighted a need to review the seating facility in individual bedrooms. This would help people who live at the home to receive their guests and relatives more privately and more comfortably in their own rooms, if they choose to do so. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Old Rectory Nursing Home Church Street Armthorpe Doncaster DN3 3AD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ramchand Samachetty     Date: 2 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Old Rectory Nursing Home Church Street Armthorpe Doncaster DN3 3AD 01302832032 01302832072 david.oldrectory@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : David Mitchell care home 36 Number of places (if applicable): Under 65 Over 65 36 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 The old Rectory is a care Home providing both nursing and personal care for up to 35 residents in the category of older people. It is privately owned by Mr. David Mitchell and managed by Mrs. Gail Bullock. The home is situated in the village of Armthorpe, within reach of local shops, a library, pubs and other local amenities. It is well served by public transport. The Home is a two-storey building, which has been extended to provide its current accommodation. There is a passenger lift to facilitate access between the floors. There are 35 single bedrooms and 6 of them provide en-suite facilities. There are some garden areas to the front and side of the home. There are car parking spaces at the front of the building. Information gained on 28 May 2009 indicates the current fees are from £398.72 to £511.33 per week and additional charges are made for newspapers, hairdressing and toiletries. Further information may be obtained from the home. Care Homes for Older People Page 4 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key unannounced inspection was carried out on 28 May 2009, starting at 09.00 and finished at 17.00 hours. The manager, Ms Gail Bullock was present throughout the inspection. The owner and responsible individual, Mr David Mitchell was present for a short time at the inspection. The service is registered to provide personal and nursing care for up to 35 older people. There were 29 people living at the home at the time of this inspection and 25 of them required nursing care. All the key national minimum standards for Care Homes for Older People were assessed. The inspection included a tour of the premises, examination of care Care Homes for Older People Page 5 of 26 documents and other records, including those relating to complaints, staff employment, staff rota, medicines management and maintenance of equipment and quality assurance methods. We checked the information contained in the Annual Quality Assurance Assessment document that was submitted to us before this inspection. We have used some of this information in this report. We considered the views of people using the service and those of their representatives. We have also taken into account the views of staff who worked at the home. We gave feedback about our initial findings to the manager and to senior staff. We would like to thank all the people living at the home, their relatives, the manager and her staff for their assistance with this inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking 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 Care Homes for Older People Page 7 of 26 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 who used the service were provided with sufficient information in order to help them choose it. Assessments of needs were carried out before people were admitted and this helped to make sure that their needs could be met. Evidence: People who lived at the home and their relatives stated that they were given sufficient information to help them make their choice of home. They confirmed that they had discussed how the service was going to meet their care needs before their admission to the home. The care files of two people who had been recently admitted to the home were checked. They showed that full assessments of their care needs had been carried out by both the placing social worker and the homes staff. this helped to establish that their care needs could be met at the home. Care Homes for Older People Page 10 of 26 Evidence: The home does not provide intermediate care services. Care Homes for Older People Page 11 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 personal and health care needs were appropriately provided for, taking account of their preferences and wishes. This ensured their welfare and wellbeing. Evidence: People who used the service and their relatives said that they were satisfied with the care and support that was provided. They said that care staff were very good and caring. People who lived at the home told us that they were well looked after. There was a system of key workers and named nurses for people who lived at the home. They stated that they found their key workers and named nurse very helpful and felt that they were receiving an individualised service. People living at the home confirmed that their personal care was always provided in private. Relatives told us that the care staff were courteous to people in their care and that they were good at listening and talking to them. They said that they were always welcomed at the home. Relatives said that they were invited to discuss the care plans of their loved ones, especially when reviews were held. During our visit, we noted that people who lived at the home were in good attire. Care Homes for Older People Page 12 of 26 Evidence: We looked at the care plans of three people who used the service. Individual care plans for each person was developed from their assessment of needs and identified risks. Actions to to taken to meet care needs were well laid out. Care plans were evaluated and reviewed on a regular basis. One of the care plans had been appropriately amended to reflect changes in the needs of the individual and to ensure that such needs are catered for. Care provided to each person was recorded at each shift. However, the records of care provided were often too generalised and did not reflect the actual care being given. This could affect the evaluation of an individuals care. The care plans that we checked showed that people using the service were appropriately assisted to access community health care services. These included the services of GPs, dentists, dietitians, occupational therapists and community mental health nurses. We noted that staff at the home had a good working relationship with the local primary care trust. We looked at the way medicines were handled and managed at the home. We noted that a new and improved storage area had been developed. Medicines were appropriately stored and all receipts were recorded. We checked a sample of medicines administration record (MAR) sheets. They were satisfactorily maintained. There were copies of policies, procedures and general guidance regarding the management of medicines for all staff. there was a copy of a internal audit of medicines management and it showed that the handling of medicines at the home was well monitored. This ensured that any potential problems were identified and rectified in a timely and safe manner. Care Homes for Older People Page 13 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. People living at the home were able to benefit from a good range of social and recreational activities, of their choice and these helped to maintain and improve their quality of life. Evidence: We observed people who lived at the home, spending time in lounges, watching television and listening to radio programmes and reading. Some people chose to stay in their own rooms and spend time in their own way. Two people took a walk outside the home and sat in the garden. They commented that in good and warm weather, they enjoyed spending time outside and the garden provided a perfect place for them. We noted members of staff spending time, talking with a few people, often on a one to one basis. The interactions were pleasant and courteous. People living at the home and relatives told us that routines at the home were flexible and this helped to create a good atmosphere. People who lived at the home confirmed that they could make their own choices with regards to a number of daily living activities. Staff pointed out that where people were not able to make their own decisions and choices, they would work with them and their relatives to ensure that Care Homes for Older People Page 14 of 26 Evidence: their preferences were catered for. Relatives confirmed that they were always welcomed at the home. They said that staff, in particular, key workers, communicated well with them and this contributed toward the wellbeing of their loved ones. The activities co-coordinator and other staff confirmed that a number of indoor and outdoor activities were regularly held for the benefit of people who lived at the home. Details of social and recreational needs of individuals were recorded in their care plans and this information was used in the planning of activities. Records of social activities included appropriate faith and cultural preferences of people concerned. Staff explained that there were arrangements in place for four people to attend weekly church services. Other activities included craft and gardening sessions, reminiscence, outings and shows from visiting entertainers. Events and activities were well publicised within the home to make sure everybody was informed of such opportunities. People who lived at the home and their relatives told us that the meals provided at the home were very good. People said that they were offered a good range of foods and drinks to choose from. A weeks menu was displayed in the dining area and staff were observed asking people about their menu choices. The main meal of the day was served in late afternoon and people said that they were happy with this arrangement. On the day of our visit, lunch consisted of homemade soup, cheese and potato pasties, jacket potatoes with fillings and salads. Deserts, fruits and fruit juices, water, tea and coffee were also served. In discussion, staff showed that they were aware of the nutritional needs and preferences of people who lived at the home and this ensured that such needs were catered for. We also observed staff helping a few people to eat their meals. They offered their assistance in an unhurried manner, whilst ensuring the dignity of the people who they were helping. Care Homes for Older People Page 15 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 who used the service were appropriately protected from harm and abuse. Staff were able to use relevant policies and procedures to safeguard people in their care and to respond effectively to their views and concerns. Evidence: There was a complaints procedure in place and copies had been provided to people who lived at the home and their relatives. People said that they were aware of the complaints procedure and would use it if they needed to do so. Relatives told us that they would talk to the manager and her staff if they had any concern. They were confident that staff would address their concerns promptly and appropriately. The manager had stated in the Annual Quality Assurance Assessment document that was provided to us, that the home had received six complaints in the last twelve months. We looked at the complaints records. The complaints were satisfactorily investigated and concluded within specified timescales. Feedback was also requested from complainants and the manager stated that the outcomes of complaints were used to improve the service. The home had use of an adult protection policy in order to promote the safety and wellbeing of people who used its services. The manager confirmed that she had referred two adult safeguarding concerns to the local adult safeguarding team, in the Care Homes for Older People Page 16 of 26 Evidence: last twelve months. These concerns had been appropriately investigated and concluded. In discussion, we noted that staff were aware of the safeguarding procedures. A sample of training records also confirmed that care staff had received training on the protection of vulnerable adults. Care Homes for Older People Page 17 of 26 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, 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. 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 who lived at the home and their relatives were satisfied that the accommodation was safe, clean, comfortable and pleasant. This helped to maintain and promote the health and wellbeing of people who lived there. Evidence: We checked the premises in the company of the manager. The building comprised of two floors and there were a set of stairs and a passenger lift to facilitate access between them. The main entrance of the building was wheelchair accessible. The communal areas included a spacious reception area, two lounges and quiet areas and a dining room. They were well decorated and well maintained. The availability of these communal areas enabled people to choose where they spend their time. We noted that some refurbishment had been carried out since our last visit. There had been some structural changes to the building in order to accommodate new facilities, which included better medicines storage area, a new improved laundry service, additional bathing facility a wet area for people who live at the home and a new relatives room in which they can stay overnight to be near their loved ones if required. We viewed a few bedrooms with the permission of people who occupied them. The rooms were well decorated and well maintained. However, we noted that in a few Care Homes for Older People Page 18 of 26 Evidence: instances, there was only one chair in a bedroom and that visitors had to sit on beds. Relatives told us that if there was space, they would prefer to have a chair to sit on. A few people told us that they had brought in some memorabilia in order to personalise their bedrooms and it felt homely to them. They said that they found the home very pleasant an comfortable. We found the home to be clean, tidy and odour free. The grounds in front of the home comprised of a mature and well maintained garden and people living at the home were able to access it for their enjoyment. Care Homes for Older People Page 19 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. People who used the service benefited from good staff recruitment and training practices, which ensured that they received appropriate care by skilled and competent staff. This helped to protect and promote their safety and wellbeing. Evidence: There were 29 people in residence at the time of this inspection. Twenty-five of them required nursing care and four needed personal care only. Besides the registered manager, there were two first level nurses and seven care workers on duty. From 14.00 hours, there were one first level nurse and six care workers. One first level nurse and three care workers were scheduled to work at night. The manager explained that she calculated the staffing level on the basis of the dependency of people who lived at the home. She stated that she would deployed additional care staff at peak times. We checked the duty rota and it confirmed the use of additional staff at peak times. Other support staff included a receptionist, an activities co-ordinator, a training officer, domestics, kitchen staff and a handy person. In discussion, people who could express their views and visiting relatives told us that they felt there were always sufficient staff around and that they were prompt in attending to people who requested their assistance. We looked at the files of three members of staff who had been recently recruited to Care Homes for Older People Page 20 of 26 Evidence: work at the home. The appropriate recruitment and selection procedures had been followed. All the pre-employment checks, including written references and appropriate disclosures had been sought and obtained. The new staff had all been provided with induction and training to make sure that they had the necessary skills and competence to provide care. The manager stated that a training officer was in post to make sure that all the training and development needs of all staff were properly identified and catered for. The manager stated that staff had been provided with on-going training on a range of subjects. These included moving and handling, fire safety, first aid, food hygiene, adult safeguarding, wound care, infection control, mental capacity act, deprivation of liberty safeguards, bereavement awareness and palliative care. Staff confirmed that they had received such training and that they were very satisfied with it. They said that they felt well supported in the work they do. We noted that 13 out of 26 permanent care workers had achieved their National Vocational Qualification (NV) level 2 and that others were studying the same course. Care Homes for Older People Page 21 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 organised and well managed and this helped to maintain and promote the health, safety and welfare of people who lived and worked in it. Evidence: People who lived at the home, relatives and staff told us that the home was well organised and well run. This made it a good place to live and work. The manager had achieved her Registered Manager s award. she is a qualified first level nurse with experience in managing residential care. The manager was also well supported in her work by the home owner. The manager confirmed that there was a good working relationship between herself, her staff and the home owner. This was confirmed by the owners reports of his monthly visits to the home. We noted that there was good forward planning in place to ensure continual improvement of the service. One of the senior nurses was given the responsibility of a deputy manager in order to assist in the daily running of the home. The manager stated that the home was working towards obtaining the Investors in People award and that this was due in June this Care Homes for Older People Page 22 of 26 Evidence: year. In discussion, staff stated that they felt well supported in their work. They confirmed that they were receiving regular supervision. A plan for bimonthly staff supervision was available and notes of supervision were seen in staff files that we checked. The manager explained that she and her senior staff had use of quality monitoring tools to help evaluate and improve the service. They included audits of care and medicines records, health and safety and risk assessments, pressure ulcers and accidents. We checked a sample of these audits and they were appropriately recorded and actions were taken to address issues that were raised. The manager stated that she also carries out regular User satisfaction surveys. She confirmed that one such survey had been recently sent out and was awaiting its return. People who lived at the home told us that staff always sought their views and preferences on a number of issues. An example was in relation to the refurbishment of the home. Arrangements were in place to support people living at the home with managing their personal monies. The financial transactions undertaken on behalf of people concerned and that we checked, were appropriately recorded, witnessed and signed for. Receipts concerning any expenditure were kept. Accounts were appropriately audited and were in balance. The manager had submitted the homes Annual Quality Assurance Assessment to us prior to this inspection. It showed that all appliances, utilities and equipment used at the home were appropriately serviced and maintained. Appropriate risk assessments and health and safety measures, including infection control and fire precautions, were in place. this helped to protect and promote the health and wellbeing of people who lived and worked at the home. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 7 The record of care provided to individuals should be improved to reflect relevant information regarding the actual care given to them. This practice should help with better evaluation of each persons care. Additional seating should be provided in bedrooms, where possible, in order to enable a relative or a visitor to spend time with their loved one, in private. 2 19 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: 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 © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!