A 79-year-old woman presents with cough, fever and pleuritic chest pain. Observations show respiratory rate 28 breaths per minute, blood pressure 100/60 mmHg, pulse 110 beats per minute and oxygen saturation 93 percent on air. Urea is 9.5 mmol/L and she is mildly confused. Using the CURB-65 score her score is 3. What is the most appropriate level of care?