A 72-year-old man presents with fever, productive cough and pleuritic chest pain. His observations are: temperature 38.6°C, respiratory rate 32 per minute, blood pressure 92/54 mmHg, pulse 110 per minute, oxygen saturations 92% on air. Urea is 10.2 mmol/L. Using the CURB-65 score, what is the most appropriate level of care?