A CQC registered domiciliary care provider in Swindon — nursing-led, person-centred, and deeply rooted in the community we serve.
We are registered with the Care Quality Commission (CQC) to provide personal care services. Our office is located at Unit 9, Pembroke Centre, Cheney Manor Industrial Estate, Swindon, Wiltshire, SN2 2PQ.
We operate as a nimble, responsive organisation, able to adapt and grow with the needs of individuals and families we serve. Earnest Support Care Ltd was established with a clear mission to fill a gap in domiciliary care provision across Swindon and Wiltshire.
We recognised that many people wanting to remain at home needed reliable, high-quality care from a provider combining clinical nursing expertise, local knowledge, and genuine person-centred values. Rather than attempting to be everything to everyone, we have defined a clear focus on delivering excellent domiciliary care within a defined geographical area, enabling us to maintain quality and build community relationships.
“Deliver compassionate, reliable, person-centred personal care.”
A commitment to every individual we support
Earnest is built on the understanding that domiciliary care is fundamentally different from residential care. Domiciliary care is delivered in people's own homes — their personal space. This demands respect for privacy, understanding of the individual's right to do things their own way, and recognition that we are guests in people's homes providing a service.
We deliver regulated personal care and holistic support to adults across Swindon and Wiltshire — from personal care, medication administration, and daily living support, to meal preparation, companionship, and community access. Care packages range from a few hours per week to multiple daily visits, all tailored to individual needs. Learn More
To be the leading domiciliary care provider in Swindon and Wiltshire, recognised for consistently delivering outstanding, person-centred support that empowers individuals to live independently, maintain dignity, and achieve their goals and aspirations. We aspire to be the provider families choose because we deliver excellence, the provider commissioners recommend because we provide reliable quality, and the provider care workers choose to work for because we support them as valued professionals.
Deliver compassionate, reliable, person-centred personal care and support, empowering people to live independently, safely, and with dignity in their own homes across Swindon and Wiltshire. This mission reflects our core belief that everyone deserves the opportunity to live at home with the support they need, maintaining relationships, pursuing interests, and retaining as much independence and control as possible.
Supporting people's right to make their own decisions and live as independently as possible.
Approaching every interaction with kindness, understanding, and genuine care for wellbeing.
HHonest, transparent, and principled in all our dealings — we do what we say we will do.
Striving continuously for the highest-quality care through investment, evidence, and improvement.
Celebrating diversity and ensuring everyone feels welcomed, valued, and included.
Best outcomes emerge through collaboration with individuals, families, and professionals.
For older people living independently at home, we provide personal care, medication support, meal preparation, mobility assistance, continence care, and domestic support. Many older people benefit from companionship and support with community activities. We understand the complexities of ageing, including managing multiple medications, chronic health conditions, mobility changes, and supporting families who want to enable their loved ones to remain at home. Our care approach recognises the wisdom and experience older people bring, and we treat all individuals with the respect and dignity their years deserve.
As individuals age, they often face new challenges including managing conditions such as arthritis, osteoporosis, hypertension, diabetes, heart disease, and stroke. We are experienced in supporting people living with these conditions, understanding their impacts on daily functioning and working collaboratively with healthcare professionals to optimise health and wellbeing. We also recognise the social and emotional aspects of ageing, working to combat loneliness and isolation through companionship and supporting individuals to maintain their social connections and community involvement.
Our leadership combines dual-qualified nursing expertise with deep, frontline local
knowledge — a rare combination in domiciliary care.
Nominated Individual
Gideon brings rare dual nursing expertise spanning both adult physical health nursing (RGN) and mental health nursing (RMN). His specialist training in complex care, medication management, venepuncture, and tracheostomy ensures clinical governance, medication safety, and confidence in managing individuals with complex health needs. Few care organisations have this depth of clinical expertise in leadership. Gideon provides clinical governance, medication oversight, guidance on complex health situations, and ensures all care meets professional nursing standards. This combination of clinical expertise and person-centred care values is relatively rare in domiciliary care provision.
Registered Manager
Claire understands Swindon's care landscape intimately through years of frontline experience. Her career progression began as HCA at First City Homecare Swindon, where she learned the realities of delivering personal care in people's homes. She progressed through Reablement Support Worker at Swindon Borough Council, Community Support Worker at SBC, and Shared Lives Officer roles. This depth of local experience means we understand what good care looks like from a frontline perspective. She has built relationships with key stakeholders across health, social care, and community organisations — including Swindon Borough Council, BSW ICB, Great Western Hospitals NHS Trust, AWP NHS Trust, Prospect Hospice, and Dorothy House Hospice.
Our Registered Manager, Claire Louise Lewis, understands Swindon's care landscape intimately through years of frontline experience and engagement with local systems. She has built relationships with key stakeholders across health, social care, and community organisations. This local knowledge enables us to work effectively with Swindon Borough Council commissioners, understand local commissioning priorities and challenges, and position ourselves as a trusted, reliable partner. We understand the diverse needs of Swindon's different communities and can adapt our services to be culturally sensitive and responsive.
We prioritise consistent continuity of care, recognising that relationship and trust are foundational to good personal care. Whilst operational needs sometimes require different care workers, we work to allocate the same care workers to individuals wherever possible. This consistency enables care workers to get to know individuals well, understand their preferences, build trust, and provide truly person-centred care. Our small size enables this level of consistency in a way that many larger providers cannot achieve. We maintain a caseload size that allows care workers to really know and understand the people they support.
Few domiciliary care organisations have nursing leadership at Nominated Individual level. Our Nominated Individual, Gideon Ogunwale (RGN/RMN), brings dual nursing expertise spanning physical and mental health nursing, combined with specialist knowledge in complex care. This clinical expertise provides reassurance to individuals with complex health needs, their families, and healthcare professionals that care is clinically sound and safe. Gideon provides clinical governance, medication oversight, guidance on complex health situations, and ensures all care meets professional nursing standards.
Quality assurance is embedded in everything we do, not something we do afterwards. We maintain comprehensive policies and procedures aligned with CQC fundamental standards. Quality is monitored through regular supervisor observations, spot-check visits, service user and family feedback, electronic care management systems, staff supervision every six weeks, annual performance appraisals, comprehensive training and development, and regular policy review. We track quality metrics and use data to drive continuous improvement. Because we are smaller and locally based, we can be more responsive to feedback and implement improvements quickly.
Our Registered Manager, Claire Louise Lewis, understands Swindon's care landscape intimately. Her career progression began as HCA at First City Homecare Swindon, progressed through Reablement Support Worker at Swindon Borough Council, Community Support Worker at SBC, and Shared Lives Officer roles. This depth of local experience means we understand what good care looks like from a frontline perspective and maintain relationships with key local stakeholders. We speak the language of local commissioners and understand their priorities and challenges.
We prioritise consistent continuity of care where possible, recognising that relationship and trust are foundational to good personal care. Our approach is responsive, adapting flexibly to changing needs and preferences rather than imposing standardised routines. We listen carefully, spend time understanding individuals' goals and values, and empower people to maintain their dignity and independence. Our size enables us to manage consistency of carer allocation and maintain quality relationships.
Swindon's population is changing significantly. ONS data shows Swindon's population is ageing, with increasing numbers of people aged 65 and over. By 2035, it is projected that over 22 per cent of Swindon's population will be aged 65 and above, compared to approximately 18 per cent currently. This demographic shift reflects increased life expectancy. Health inequalities persist across Swindon, with certain wards experiencing worse health outcomes driven by deprivation, limited access to health services, and health literacy.
The domiciliary care market has experienced significant growth and change. Local authorities increasingly prioritise home-based care as alternatives to residential care. Most people prefer remaining at home, yet finding reliable, high-quality providers combining clinical expertise with person-centred approaches has been challenging. Many providers in the market are large national organisations focused on cost-containment. Smaller, locally-rooted providers that prioritise relationships have become increasingly rare — yet service users and families need providers who understand their context.
Swindon has significant health and social care challenges. The area experiences higher than national average deprivation in certain wards, affecting healthcare access and outcomes. There are gaps in certain specialist services. Local authority commissioning emphasises cost-containment and home-based services as alternatives to residential or hospital care. There is documented need for high-quality, accessible care services across the borough and wider Wiltshire.
Our leadership team recognised an opportunity to establish a provider delivering evidence-based, compassionate care grounded in local knowledge and clinical expertise. Rather than attempting to become a large national provider, we have chosen to remain local and focussed, prioritising quality and relationships over rapid growth. Earnest Support Care Ltd was established to address a significant gap in domiciliary care provision across Swindon and Wiltshire.
Earnest Support Care Ltd operates within a comprehensive regulatory framework designed to protect people and ensure quality across all aspects of care provision.
Governs regulated activities including personal care and medicines management. Establishes requirements for registration, safety, staffing, and quality across all regulated care activities.
Establishes duty to promote individual wellbeing. Requires us to prevent needs from developing, ensure access to high-quality care and support, and safeguard vulnerable adults from abuse and neglect.
Protects people unable to make decisions. Establishes a framework for supported decision-making and safeguarding, requiring that we respect autonomy whilst protecting vulnerable people.
Protects from discrimination on protected characteristics. Covers age, disability, gender reassignment, race, religion, sex, and sexual orientation — requiring that we promote equality and remove barriers.
Protects fundamental rights including privacy and family life. Ensures that our practices respect human dignity, protecting individuals from torture or inhuman treatment.
Governs processing of personal information. Establishes rights of data subjects including access and correction, requiring secure handling of sensitive health and personal information.
Evidence-based practice recommendations. We implement NICE guidance on dementia care, personalisation, safeguarding, and other relevant topics, ensuring our practice is grounded in current best evidence.
Five key questions applied across 34 quality statements. Is it Safe? Is it Effective? Is it Responsive? Is it Caring? Is it Well-Led? These questions, applied across 34 quality statements, govern our registration and ongoing compliance.
Quality assurance is embedded in everything we do, not something we do afterwards. Our comprehensive framework includes:
Safeguarding adults from abuse and neglect is a fundamental responsibility of all care providers. We take safeguarding extremely seriously. All staff complete mandatory safeguarding training covering types of abuse (physical, sexual, psychological, financial, institutional, neglect), indicators of abuse, and responsibilities to report and respond to concerns.
We maintain zero tolerance for abuse. If any abuse is suspected, we report immediately to the local authority safeguarding team, involve relevant authorities, and fully investigate. We support victims of abuse and take action to prevent recurrence.
Earnest Support Care works in partnership with Swindon Borough Council, Integrated Care Board (ICB), and other commissioners and local authorities. We understand commissioning priorities, budgetary constraints, and performance expectations. We maintain regular communication with commissioners, provide requested data and reporting, and work collaboratively to meet local needs. We are transparent about our service, responsive to feedback, and committed to delivering value for money whilst maintaining quality. Our local knowledge and relationships with commissioners enable us to be a trusted, reliable partner in the local care system.
Learn More
We are committed to delivering evidence-based care grounded in current best practice. We follow guidance from professional bodies (nursing and midwifery councils), regulatory bodies (Care Quality Commission), and guidance bodies (National Institute for Health and Care Excellence). Our Nominated Individual stays abreast of current evidence and best practice. We implement evidence-based approaches including trauma-informed care, person-centred approaches, NICE guidance on dementia, falls prevention, and nutrition. We are open to new evidence and willing to change practice if evidence suggests a better approach.
We are here to help and would welcome the opportunity to discuss how we can support you or your loved ones.
