We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:
    
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          Outstanding
           – the service is performing exceptionally well.
         
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          Good
           – the service is performing well and meeting our expectations.
         
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          Requires improvement
           – the service isn't performing as well as it should and we have told the service how it must improve.
         
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          Inadequate
           – the service is performing badly and we've taken enforcement action against the provider of the service.
         
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          Not rated
           – we have not yet rated this area of the service, this is normally because the assessments we have carried out have been focused on other key questions.