In Michael Gove's world, Jane Austin, Orwell and Dickens will die out

In Michael Gove’s world, Jane Austin, Orwell and Dickens will die out

 



Polly Toynbee dismisses Michael Gove’s intention to strip English Literature out of the core English GCSE examinations as leaving it with nothing but grammatical corrections and straitjacket language. [1.]

Toynbee says English literature is to be regarded as an optional extra and not a highly regarded one. The new English literature examination will become more rigorous, concentrating on pre-twentieth century texts, which may deter all but enthusiasts.

She feels high achievers will be more clearly set apart, rewarding those who already thrive under any system

Toynbee believes that Gove’s plans will see drama, dance, art and literature slipping away despite the fact that in further education colleges, it is often these subjects that provide second and third chances for those failed by schools the first time around.

She challenges that drama is low value but notes that ever fewer schools employ specialist drama teachers. Shakespeare is on the curriculum but no longer to be examined.

In Gove’s schools, whatever might seize the imagination, give pleasure and stay in the heart and mind for a lifetime longer than rote learned facts, is being rooted out.

Toynbee compares Gove to a Dickens character obsessed with teaching boys and girls ‘facts’. She draws attention to an array of writers, artists and academics (including Michael Morpurgo, Robert Harris, Sheila Hancock, Miriam Margoyles, and professors John Carey and John Sutherland) that have sent a letter of protest to the Sunday Times. She, and they, feel when everyone has to do some literature it is more accessible to all and humanises all.

No school should be judged good or outstanding unless it’s good at arts and she guesses that Gove wouldn’t send a child of his to any school that regards arts as a waste of time.

In her Response  [2], Liz Truss states that Polly Toynbee is wrong to claim that our reforms will narrow education to serve exams. Study of our greatest dramatists is to be enhanced, and the study of literature for all 11 to 14 year olds requires wider reading now than ever before.

[1] Toynbee. P - 5th November 2013 - In Michael Gove's world, Jane Austin, Orwell and Dickens will die out - The Guardian [2] Truss. E - 13th November 2013 - Response - Literature is not going to be stripped out of English - The Guardian  Illustration -  Pudles. D 5th November 2013 - The Guardian 

Visiting five possibilities for short story hopefuls

The Writers' and Artists' Yearbook 2014 is out. The year's short story competition (deadline 15th February) is on the theme of 'The Visit'. Thinking about what this could mean, I came up with five layers of possibility.


The first layer comprises people going to see other people. Perhaps you didn’t need this pointing out, but an important distinction is to be made here: all participants in these stories are still living. Layer one can also be subdivided into visitors who are welcome and those who are not.

This still living business helps us neatly segue into layer two: visits from the departed. Seances and ghost stories perhaps, but there is also the potential here for emotional explorations of unspoken feelings. You know the sort; at the end of the story you aren't sure if anything actually took place in the physical world. Not that it necessarily mattered.

Layer three considers non-human interactions, anthropomorphic or otherwise. There springs to mind an Armageddon-proclaiming turkey, or a cake whispering to you from its tin. Aliens. Say no more.

In layer four there are visits involving inanimate things: a revolting illness (not inanimate, arguably) or a turn of misfortune. Perhaps a floor is visited by a broom, a head of hair by a nit comb. Or maybe it’s the story of a nice day out to an old castle.

Layer five stretches the semantics of 'visit' somewhat, but still has its place. Someone is visited by a wonderful idea, and goes to great and hilarious lengths to turn this brainwave into reality.

Perhaps there are yet further layers of interpretation. If so, I would be delighted to hear about them. Further advice and details of Words Worth Reading Ltd's manuscript proofreading services for writers can be found here. In the meantime, good luck to be visited on all entrants!


Source: Owen, A. (Ed), 2013. The Writers' and Artists' Yearbook 2014. London: Bloomsbury.

CQC fines Selby care home £8,000

The CCQ issued the following press release regarding Selby care home on Thursday 7th November 13;

"A care provider which failed persistently to comply with national standards on the safe management of medicines has been issued with fines of £8,000 by the Care Quality Commission.
"CQC issued the fixed penalty notices to St Philip’s Care Ltd after inspectors found that concerns which had been identified on inspections at The Grange, 28 Leeds Road, Selby had not been addressed properly for three months. The Grange provides accommodation and nursing care for up to 47 older people.

"The registered provider, St Philip’s Care Ltd, had been told that they were facing legal action after a series of inspections from November 2012 onwards. At the first inspection, November 2012, inspectors found that the nursing home was failing to ensure that people were protected against the risks associated with the unsafe use and management of medicines. The provider was told that it must make urgent improvements.

"When inspectors returned on three subsequent occasions, they found that people were still at risk.
While the home had made some improvements, the provider still did not have appropriate arrangements in place to manage medicines safely and effectively.

"Subsequently CQC issued two fixed penalty notices, which the provider has accepted and paid.

"Following CQC’s intervention, St Philip’s Care Ltd is taking action to achieve compliance. A report of our latest inspection has been published on the CQC website.

"Malcolm Bower-Brown, CQC’s director in the North said:

“It is a provider’s legal duty to ensure that it has appropriate arrangements in place to manage medicines in a safe way.

“We inspected The Grange in November 2012 after concerns about medication management were raised with us by the local authority safeguarding team. Following our inspection, we warned St Philip’s Care Ltd that they must make urgent improvements.

“It was a matter of great concern that following three subsequent visits we found that residents were still not receiving medication properly, in line with legal requirements.

“The law sets out national standards that everyone who uses services should be able to expect. Providers have a duty to ensure they meet these standards. Our decision to fine this provider sends a clear and public message that persistent failure to meet national standards will not be tolerated.

“We will continue to keep The Grange under close review and will not hesitate to take further action if necessary to ensure residents receive the service they are entitled to expect.”

Facebook heads home to Harvard

The Guardian has reported that Facebook confirmed yesterday that it is opening a Boston-area office just a couple of miles away from where the website was initially founded in Mark Zuckerberg's Harvard University dorm room. Facebook's current headquarters is in Menlo Park, California.

The team, which will be in Cambridge, the town just outside Boston where Harvard is located, will focus on infrastructure projects in areas including storage, networking, security, and language runtimes.

"The tech community here is world class, from the incredible academic institutions to the vibrant startup ecosystem to the bevy of global companies who have teams here," said Ryan Mack, who will lead the office. "We are thrilled to have found a new home here and hope we can help the community continue to thrive."

Mack and a couple of other Facebook employees have been in the Boston area for a couple of years, working "from a series of coffee shops, libraries, and co-working spaces," including a basement in Chinatown, he said.

How lovely to see this social media giant return to its roots.

Special measures recommended for Colchester Hospital University NHS Foundation Trust

The CQC provided the following press release on Tuesday 5th November 2013;

'Professor Sir Mike Richards’ call [for special measures] follows serious concerns, highlighted during a Care Quality Commission (CQC) inspection, regarding the quality of some services for cancer patients at the trust.

'The concerns and the recommendation have been referred to Monitor, the sector regulator for health services in England.

'CQC inspectors found a number of cancer patients may have suffered undue delays in treatment and there were inaccuracies with waiting time data relating to cancer treatment.

'In its inspection report, published today, CQC says some hospital staff reported they were pressured to change data relating to patients and their treatment to make it seem [as if] people were being treated in line with national guidelines. As a result some patients may not have had the treatment they needed in time.

'Staff also reported having raised concerns about this but that this information was not acted upon by the trust.

'CQC has also referred its findings to Essex police.

'This week Colchester Hospital University NHS Foundation Trust has written to 30 patients, or their next of kin, where patients have died, offering to review their treatment.

'CQC’s inspection, which took place during August and September, followed information of concern which had been received about the treatment of patients from the end of 2011.

'Inspectors spent six days at the hospital talking to patients and staff. When inspectors checked the national cancer waiting times system against patient records, they found discrepancies in the records and types of treatment recorded for some cancer patients.

'Of the 61 care records examined, 22 showed that people had been placed at risk of receiving care that was unsafe or not effective, due to delays in receiving appointments or treatment.  The records related to people receiving treatment for urological cancers, cancers of the lower and upper gastrointestinal systems, and those of the head, neck, breast and skin.

'In some cases, CQC identified, people did not get their treatment within the required 62 days and in three cases delays exceeded 100 days.

'Even though an internal investigation in 2012 identified concerns, the trust failed to investigate the allegations thoroughly or follow up with the patients who were affected. Staff alleged that they had been pressured, or bullied to change data.

'The Chief Inspector of Hospitals, Professor Sir Mike Richards said: "If you are diagnosed with cancer - you are entitled to think that your hospital will do all they can to ensure you get treatment you need as soon as possible. It is shocking to think that people's lives may have been put at risk for the sake of the waiting time figures.

"Every year around six thousand people go to Colchester Hospital University NHS Foundation Trust to be treated for cancer. It is essential that people in north Essex can have confidence in their hospital.
"Clearly this report raises questions over the safety and effectiveness of these services. But it also raises questions at the highest level. We have found that the concerns raised by staff in relation to changes made to people’s cancer pathways were not appropriately managed or investigated by senior staff of the Trust, which is why I am now recommending that this trust should be placed in special measures.”

'The concerns were highlighted to CQC by the team carrying out inspections as part of Sir Bruce Keogh’s review of NHS trusts, who had been contacted by a whistleblower.

'Professor Sir Mike Richards added: “We have only been able to consider taking action because of the hospital staff who came forward to raise their concerns in the first place. It’s thanks to them that we can ensure that the service is better in future.

"We have referred our findings to NHS England, the local authority, commissioning teams as well as Monitor and we look to them to provide the assurance that the services are safe and effective for everyone when they need them."

Adam Cayley, Regional Director for Monitor said: “Monitor has been working closely with the CQC over its concerns in relation to this trust, and we have identified risks in the way that the trust is run.

“We have therefore opened a formal investigation into whether it has breached the conditions of its licence, and we will consider putting the trust into special measures as part of any regulatory action we may take to protect its patients.

“Meanwhile, Monitor is working with its partners to ensure the trust takes appropriate action to safeguard the health and wellbeing of all patients currently using the cancer pathway. We have also asked the trust to implement a look-back review to establish whether there is a risk that other patients did not receive treatment in accordance with national standards in recent years.”'

Potential abolition of the Irish Censorship Board

Ireland has had one of the strictest censorship regimes of the 20^th century; banning many well known books in the past including East of Eden by John Steinbeck and The Heart of the Matter by Graham Greene. However, this may all be about to change as it seems that Ireland’s main opposition party, Fianna Fáil, has tabled a bid to abolish the Irish Republic's Censorship of Publications Board.

This would be quite a change in Irish censorship regulation as this board has been in existence since 1929. The board was borne out of the Censorship of Publications Act and has been prolific in its approach! Thousands of authors have fallen foul of this board including, but not limited to, James Joyce, Brendan Behan, F Scott Fitzgerald, Edna O’ Brien and DH Lawrence.

The board is authorised to ban any works that it feels are obscene. Initially, a number of books relating to sex and marriage were banned and some works by the women’s rights campaigner, Marie Stopes. Any member of the public can refer to the board; however, it is felt that the board has outlived its function with no new members being appointed since 2011 and only eight books referred since 2008.

One of these books is the current justice minister (Fine Gael), Alan Shatter’s novel, Laura, which "contains steamy sex scenes and centres around the troubled private life of an Oireachtas member who is having an affair with his secretary". However, no decision can be made regarding this novel as the board currently does not have any members!

Currently, no books are banned in Ireland because of indecency, but eight books about abortion continue to be censored, testament to the fact that the board has always been known for its adherence to strict Roman Catholic values.

It will be interesting to see whether this board, described by Robert Graves as imposing “the fiercest literary censorship this side of the Iron Curtain” (www.irishindependent.ie 2013)continues to exist or shuffles off into the twilight - a nation awaits!

If you would like help with writing your manuscript check out http://www.wordsworthreading.co.uk/manuscript-proofreading.php#ghostwriting
 

CQC announce further hospital CQC visits

On the 24th October 13 the CQC announced that a further 19 NHS trusts will be inspected next year, starting from January 2014. These additional inspections will pull on larger, expert teams that include professional and clinical staff and members of the public who use care.

These NHS trusts are the first to be given one of the following ratings.

• Outstanding
• Good
• Requiring improvement
• Inadequate

How have these NHS trusts been chosen?

The CQC have selected the next 19 NHS trusts to inspect based on whether they:

• score highly in their intelligent monitoring tool.
• are a foundation trust applicant that Monitor have asked the CQC to look at.
• were inspected by Sir Bruce Keogh.

In addition the CQC have selected eight mental health trusts and community health services to help them test and develop models for the way they inspect and regulate those services.

Which trusts will be inspected?

• Aintree University Hospital NHS FT (North)

• Heatherwood and Wexham Park Hospitals NHS FT (South)
• Homerton University Hospital NHS FT (London)
• Leeds Teaching Hospital NHS Trust (North)
• Northampton General Hospital NHS Trust (Central)
• Royal Berkshire NHS FT (South)
• University Hospitals of Leicester NHS Trust (Central)

• Hull and East Yorkshire Hospitals NHS Trust (Band 2) (North)
• Oxford University Hospitals NHS Trust (Band 3) (South)
• Royal Cornwall Hospitals NHS Trust (Band 3) (South)
• St George’s Healthcare NHS Trust (Band 6) (London)

• Basildon and Thurrock University Hospitals NHS FT (Band 1) (Central)
• Blackpool Teaching Hospitals NHS FT (Band 2) (North)
• Buckinghamshire Healthcare NHS Trust (Band 1) (South)
• Dudley Group NHS FT (Band 4) (Central)

• East Kent Hospitals University NHS FT (Band 3) (South)
• Lewisham and Greenwich NHS Trust (Band 2) (London)
• Peterborough and Stamford Hospitals NHS FT (Band 6) (Central)
• University Hospitals of Morecambe Bay NHS FT (Band 5) (North)

Mental health trusts/community health services

• Bridgewater Community Healthcare NHS Trust – FT applicant (Community - North)
• Central Essex Community Services (Provider) – Social Enterprise (Community – Central)
• Coventry and Warwickshire Partnership NHS Trust – FT applicant (Mental Health - Central)
• Derbyshire Community Health Services NHS Trust – FT applicant (Community - Central)
• Devon Partnership NHS Trust – FT applicant (Mental Health - South)
• Dudley and Walsall Mental Health Partnership NHS Trust, MH – FT applicant (Mental Health - Central)
• Solent NHS Trust – FT applicant (Combined - South)
• SW London and St George’s Mental Health NHS Trust – FT applicant (Mental Health – London)

Catton wins Man Booker Prize 2013

Finally, after all the speculation, the winner is announced. Elanor Catton, at 28, is the youngest Man Booker winner in the history of the prize. The Luminaries also has the honour of being the longest ever winning novel at 832 pages. Catton is only the second New Zealander to win the prize.

The novel itself is set in 1866 during the New Zealand gold rush. The story revolves around a group of 12 men gathered for a meeting in a hotel and a traveller who stumbles upon them. The story goes on to involve a missing rich man, a dead hermit, a huge sum in gold, and a beaten-up whore. In effect this is a mystery involving sex, opium and lawsuits. The story is told through multiple voices and, eventually, what happened in the small town of Hokitika on New Zealand's South Island is revealed.

The book was described by Robert Macfarlane as a “dazzling work, luminous, vast”. It is, he said, “a book you sometimes feel lost in, fearing it to be 'a big baggy monster', but it turns out to be as tightly structured as an orrery”. He goes on to say that The Luminaries is a novel with heart, “The characters are in New Zealand to make and to gain – the one thing that disrupts them is love.”

Catton’s life will now change forever. She will be recognised as one of the great modern day writers and, for one so young, she should have a long, and hopefully productive, writing career ahead of her. It will be interesting to see how and with what she follows up this success!

If you think you have a story to tell, but need some help getting it on paper, visit our Ghost Writing Service.

Settling into a job abroad

Last year I worked abroad teaching English and found it to be a great experience. After completing my teaching qualification I moved to Spain. I am currently looking to go further away this year and I am planning to move to Vietnam.

In my first year I learnt a great deal. The job gave me support to help me settle in a new country, helped me to meet people and learn some of the language. The students have not always been the easiest to teach but, as well as teaching them, I learnt from the adult students (cultural traditions, how to celebrate public holidays and where the best bar/ restaurant in town was.) I enjoyed working with the young children as well teaching them English in a fun way.

The first two months were very difficult as I think a lot of people who have lived abroad will agree. There are all the practical things to worry about: finding somewhere to live, starting a new job, setting up a bank account, getting a mobile phone and the internet. On top of this you need to meet new people, learn the language, find different food you like and adapt to a new way of life. My advice is to be patient; it won’t all happen immediately. I had times when I wanted to go home and know others who left after a few weeks. But you will get past this as you settle into the new job and lifestyle. 

My next challenge is picking a job in Vietnam. I get offered a job which seems great and then I google the company and find horror stories from people who worked for them. And like hotel reviews you can never tell if someone is being overly critical or speaking the truth. I see many agencies being advertised and then reviews saying never to go through an agency as they don’t care about the students or the staff. All the advice says just go and find a job out there. A daunting prospect.

If you decide to work abroad my advice is to be patient, you won't settle in immediately, enjoy the job you do, and remember to get involved and explore. 

From online submissions to online courses: The use of the internet in University life

The internet is now essential for everyday life at university. As well as socialising and researching, online submissions have been standard at most universities for some time. I never experienced this being at Sussex University where both copies still had to be submitted by hand until 2012. I can imagine it does limit late submissions, half the amount of paper needed and help to avoid plagiarism. However Sussex University lost its beloved dissertation dash last year. A fun day for finalists to let their hair down and the countdown to the four o’clock deadline with the last few students running to hand their work in on time.

The internet is becoming even more important with online courses. The Open University has launched Futurelearn.  Still in its preliminary stages it is offering online courses from a number of top universities for free. You can access a variety of courses from the comfort of your own home or on the way to work. This provides opportunities to learn skills, help you decide if a university course is right for you before paying those massive fees and can be accessed by domestic students and international students. Even though you wouldn't get the full social experience of university (which not everyone wants) there is a community for people to discuss topics. For some I can imagine it might end up like that morning jog with good intentions at the start of the year but later interest dwindles. For the well-motivated it could be a great opportunity. 

CQC annouces a new approach to their social care establishment inspections

The CQC (Care Quality Commission) have today annouced their intention to change the way that care homes and other social care services are monitored, inspected and regulated.


Below we've summarised the key changes proposed by the CQC:

1. Rating care homes

Every care home and adult social care service in England will be awarded one of the following ratings by March 2016.

• Outstanding.
• Good.
• Requires improvement.
• Inadequate.

These ratings will be made available to the public so that they can make better informed decisions about the care they or their loved ones receive.

2. Bigger and improved inspection teams

Inspections of adult social care services will look at whether the service is:

• safe.
• effective.
• caring.
• responsive to people’s needs.
• well-led.

It is proposed that inspection teams will also include more expert inspectors, specialist advisors and people who have experience of receiving social care services. 

3. Other changes

The CQC have pledged to also:

• monitor the finances of 50-60 care home providers that would be difficult to replace if they were to go out of business (subject to the Care Bill – a change relating to the care and support for adults – becoming law).
• take tougher action on services that do not meet standards, particularly those that do not have a registered manager in place.
• check that services that are applying to be registered have the right values, motives, ability and experience to provide care to people.
• discuss the risks and potential benefits of mystery shoppers and hidden cameras to monitor care, and whether they could contribute to promoting a culture of safety and quality while respecting people’s privacy and dignity.
• encourage residential homes to get more involved in their local community.
• work with local Healthwatch to get its views on care homes in the community.

The CQC have said that they will be releasing a consultation document and asking for public opinion on these changes in Spring 2014.
Andrea Sutcliffe, Chief Inspector of Adult Social Care, said: “This is a fresh start for how care homes, home care, and other adult social care services are inspected and regulated across the country. I will be leading CQC’s new approach by making more use of people’s views and by using expert inspection teams involving people who have personal experience of care.

“We will always be on the side of the people who use care services. For every care service we look at, I want us to ask, is this good enough for my Mum? If it is, this should be celebrated. If not, then as the regulator, we will do something about it.”

CQC fee consultation for 14/15

The CQC have launched a consultation process to understand individuals' thoughts on the fees that they propose to charge health and social care providers in 2014/15.

This year’s consultation includes proposals to:

• increase fees for all health and social care providers by 2.5 per cent.
• change the bandings for residential care home services to reduce certain “cliff edge effects” in the current bands.
• introduce a measure to differentiate single location dental providers by the size of their practice.
• make a minor change to a definition in the fees scheme in relation to residential substance misuse and specialist college services.

Its easy to get involved. You can download the consultations document from the CQC website to read about their proposals in more detail and to find full information on the feedback process.

The CQC (Care Quality Commission) monitor the quality of health and care services provided throughout the UK. They focus on registering organisations as 'fit to practice' and on ensuring on-going compliance with recognised quality standards.

Man Booker Prize 2013

This year’s Man Booker Prize shortlist is one of the most diverse in recent memory. Each novel has its own highly distinctive taste and style ranging from 832 pages to 104. The oldest author is 67, the youngest 28 (Elanor Catton, indeed the youngest ever shortlistee!). The original longlist contained 151 novels, so well done to the judges for reading and, in some instances, re-reading these books! It seems that the judges are not swayed by big names with a number of renowned writers not making it onto the list.

The books on this list show that the novel continues to be a multi-faceted thing and that the inspiration to write comes from all places, knowing no boundaries – geographical or otherwise.

The list.

We Need New Names by NoViolet Bulawayo (Chatto & Windus)

The Luminaries by Eleanor Catton (Granta)

Harvest by Jim Crace (Picador)

The Lowland by Jhumpa Lahiri (Bloomsbury)

A Tale for the Time Being by Ruth Ozeki (Canongate)

The Testament of Mary by Colm Tóibín (Penguin)

The winner is announced on October 15^th.

If you are an aspiring writer and would like help with your manuscript, Words Worth Reading Ltd can help. Simply visit our website to find out about our services.

Removal of Duplicate Documents on the IG Toolkit

A significant number of duplicate documents have been identified within the evidence documents held against organisations’ assessments on the IG Toolkit. 

As part of version 11 released in June 2013, a new function has been added which means that a user cannot upload more than one document with the same filename. 

There are concerns in relation to long term server capacity, so a decision has been taken to remove any duplicate evidence documents (i.e. those documents where both the filename and content is exactly the same). 

The removal of these documents should also help with the management of evidence documents for users via the ‘view documents used as evidence’ link as the duplicate documents will no longer be appearing as multiple duplicated entries on that list.

These changes will happen automatically over the weekend of 25th October and you do not need to take any action. This action will not impact on your overall assessment or scores.

If you are a healthcare professional and would like help with your IG Toolkit submission, Words Worth Reading Ltd can help. Click here to find out about our support packages and audit service. 

Image: Jessica Mullen, Flickr

The September edition of the Words Worth Reading Ltd newsletter is now available to download

The September edition of the Words Worth Reading Ltd newsletter is now available to download.

The autumn has begun, the nights are drawing in but we are keeping busy here in the Words Worth Reading Ltd office.  Our editorial team have been working with both students and writers and we have launched our IGT remote audit service for healthcare professionals. 

To get the latest news about business, healthcare, jobs, writing, student life, and to find out what the Words Worth Reading Ltd team have been up to, download this month's newsletter from our website by clicking here.

Monitoring of controlled drugs: The CQC calls for continued vigilance

The sixth annual report into the management of controlled drugs was published by the CQC last month. The report warns that whilst the arrangements for monitoring controlled drugs have worked well, continued vigilance is needed to make sure this good practice continues.

In 2013, changes were made to the regulations governing controlled drugs to align them with the new NHS guidelines.

The report details the progress made in implementing regulations introduced in response to the Shipman Inquiry which found ineffective monitoring had allowed Dr Harold Shipman to divert supplies of diamorphine to kill many of his patients without being detected.

New systems and processes are being rolled out across the NHS and while this is happening, the CQC Chief Executive, David Behan warns that it is vital that vigilance is maintained to ensure the safety of patients.

The CQC is looking at the governance arrangements for controlled drugs in primary medical services now that they are the regulator for these services.

The report outlines trends within the prescribing of controlled drugs and has made five key recommendations. These include:

·      Health and social care professionals must ensure they know the mechanism for reporting controlled drug concerns.

·      CDAOs must ensure contact details on the CDAO register are accurate.

·      Effective systems developed at the local level for secure gathering, sharing and recording of intelligence relating to concerns about safe management of controlled drugs should be preserved and transferred into the new NHS structure.

·      CDAOs must be aware of their continuing responsibilities for good governance and safe use of controlled drugs to ensure monitoring and vigilance.

·      During 2013, the CQC must incorporate providers’ governance arrangements for controlled drugs into its inspection model for primary medical services.

To download the full report, click here.

Image: e-MagineArt.com

Source: www.cqc.org.uk