Thank you very much. I particularly appreciate that you point out that it is entirely possible to be efficient and still be caring. This is the essence of person centered care which requires a professional but entirely human approach. I fully understand the four star score for value for money but our fees are entirely driven by both National Minimum Wage and soon, the increase in Employers National Insurance Contributions. The costs of providing care which meets the CQC's standards of being Safe, Effective, Caring, Responsive and Well-led are now huge and sadly will only increase. Thank you for your considered review.