PERMISSION FOR THE PROPOSED ERECTION OF A FIRST FLOOR EXTENSION TO AN EXISTING NURSING HOME COMPRISING OF (1) A DAYROOM, (2) A DINING ROOM AND SERVERY (3) A BALCONY SPACE AND (4) FOR MINOR ALTERATIONS TO THE EXISTING GROUND FLOOR AND FIRST FLOOR LAYOUT TOGETHER WITH ALL ASSOCIATED SITE WORKS AND ANCILLARY SERVICES