Specialist support for adults whose needs have outgrown standard home care.
We look after twenty-four adults in their own homes, across Bristol and South Gloucestershire. Some have been supported by us for as long as sixteen years — many by the same workers they started with.
Complex mental health, autism, learning disabilities and behavioural distress — support built around the person, not the rota. From two hours a day to twenty-four.
We don’t take every case.
When we do, we stay.
Established in 2004. Independently led by Vierka Hiscock since 2017.
When families contact us
Most families don’t contact us because they need care. They contact us because something isn’t working.
Perhaps support has broken down again. Perhaps your son or daughter still relies on you for everything. Perhaps anxiety is making daily life smaller and smaller. Perhaps previous agencies have come and gone, and you are tired of explaining the same story to a new face every week.
And perhaps, quietly, you have begun to think about what happens when you are no longer able to provide this support yourself.
If any of that sounds familiar, you are not alone — and you do not have to have it all worked out before you call us. The first conversation is confidential, unhurried, and commits you to nothing.
How can we help?
Find the right starting point
For families
Worried about someone?
Support when caring for an adult at home is becoming harder to manage — and you want people who will stay.
For families →For private clients
Funding support privately
Flexible, relationship-led support outside commissioning frameworks — faster decisions, full discretion, planning for the future.
Private clients →For professionals
Making a referral?
We work alongside local authorities, case managers, social workers and healthcare teams on complex, long-term placements.
Discuss a referral →What we support
Complex support, delivered at home
We are not a one-hour-visit agency, and we are not live-in-care only. We deliver the full intensity spectrum — tailored to the individual.
Mental health support
For adults whose mental health is complex enough that standard provision hasn’t held. Daily structure, consistent relationships, and a calm environment in which therapy and recovery can stick.
Autism support
Built around what works for the person — sensory thresholds, communication preferences, predictable routines, decompression time. We listen to the person who lives it.
Learning disabilities
For adults wanting more independence than they currently have. A slow, careful path toward more agency — often working with parents who are tired or ageing.
Behavioural distress
We rarely find people “challenging.” Distress is almost always an expression of something — pain, sensory overload, unmet need. We work patiently to understand it.
From two hours a day to 24/7
Packages range from a few daily visits to round-the-clock community support. The same two or three workers rotate through each home, week after week.
Independent living mentoring
For people who need someone walking alongside them as they build a life — money, routines, relationships, work. Our Director, Deputy Manager and two Team Leaders are qualified mentors.
Why families choose us
Three things that make us different
We don’t take every case
We say no to most enquiries — and that is exactly what makes us right for the ones we say yes to. When we take someone on, we have the time to do it properly.
We stay
Some of the people we look after have been with us as long as sixteen years. The same two or three workers cover each home, week after week. No revolving door. No reciting needs to a stranger every shift.
You reach senior people
There is no call centre. Enquiries are handled by our Service Manager Jo Sparrow and Deputy Manager Jessica White — both long-standing — with oversight from Director Vierka Hiscock on every case.
Real lives we support
Names changed. Details true to the work we actually do.
Audrey
Anxiety & isolationLives alone since her partner died; anxiety made leaving the house unbearable. Two consistent workers, one visit a day. Six months in, she walks to the corner shop once a week and runs her own diary again.
Mr Williams
Autism · 24/7 supportRound-the-clock support in his own home for seven years. Three workers he knows by name. Predictable routines, a sensory-aware environment. His parents finally sleep.
Eileen
Mental health recoveryDischarged from a long admission with no daily structure. We provided the consistent presence that made the therapy stick. Three years on, she lives independently with two visits a week.
Betty
Learning disability · independent livingMoved out of her parents’ home in her late thirties. We walked alongside her for eighteen months — money, routines, neighbours, her own front door. She now mentors a younger client.
Mr Smith
Behavioural distressDescribed as “challenging” by three previous providers. We listened to what the distress was telling us. Two years in: no agency placements, no escalations, quality of life transformed.
Olive
Nine years with usAmong our first clients in 2017. Same lead support worker for nine years. Her family no longer counts the years — they count the things she’s done in them.
“Most agencies are organised around the rota. We organised ourselves around the person.”
Vierka Hiscock, Director & Registered ManagerGovernance & quality
We treat compliance as a daily practice
Not an annual scramble. Every claim on this page is evidenced — and available on request.
CQC — rated Good
Registered, inspected, rated Good. Vierka Hiscock is the Registered Manager and Nominated Individual.
ISO certified
ISO 9001:2015 (Quality, cert 282832018, to 07/05/2028) and ISO 45001:2018 (Health & Safety, cert 374412021, to 01/07/2028). Audited annually.
Daily evidence
Citation Quiqcare is our live compliance platform. Quality statements are re-evidenced continuously — not the day before an inspection.
Member, South Gloucestershire Adult Strategic Safeguarding Board · Insured through Marsh Commercial · Nourish for care planning · Citation for HR & compliance
If it matters, talk to us.
If you are worried about an adult whose needs are complex, emotional, slow to resolve or rarely linear — and the standard care models have already been tried — we should talk.
0117 405 4320 [email protected] Send a confidential message There is no call centre. You reach senior people who know the work — Jo Sparrow and Jessica White take enquiries, with Vierka Hiscock overseeing every case. We normally respond within one working day.