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Dedicated to Providing the Best Care at Home.

If being at home is important to you, you won't find a better way to ensure professional and understanding care than with us. We understand how our Service Users feel and our approach is always tailored to provide the care and support require by each, individual Service User.


Care Resource Bureau provides support and assistance for people who want to live at home and maintain their independence.  Our experience of care in the community means that we are well qualified to provide outcome based person centred care, ensuring independence, flexibility, dignity and choice.


We provide a full range of Home Care services including personal care, medication, domestic support, companionship, dementia care and pallative care. The care and support can be provided within anything from a check call up to 24/7 live-in care, and is available for everyone whether government funded or self funded.

Care Resource Bureau has embraced the government’s agenda of 'putting people first' and provides a personalised care service for all of our Service Users.  Self Directed Care through Individual Budgets/Direct Payments allows all Service Users to exercise better control and choice.




Care Resource Bureau can provide these services to you at home:


  • Hospital Discharge Same Day Service - Within 24 hours of referral

  • Live-in Home Care

  • Personal Care And Support

  • Dementia and Alzheimers Care

  • Palliative Care

  • Supported Daily Living For Learning Disabilities

  • Personal Assistant

  • Organised Activities/Outings

  • Training

Better Care Starts With You!
You are not alone, we are here... We can help, advise & support.


When care is needed for an elderly person Tricia Downes is much more than just a professional.  She is a person that you can totally trust.


Tricia really cares about her patients and is excellent in assessing what each individual case needs. She then investigates this and follows it through.


We have never known anyone in the medical professions who gives more of their time to people in need.


Paul Daniels & Debbie McGee -  (March 2015)














I have known Tricia Downes for a number of years.


My mother has suffered from severe vascular dementia and macular degeneration and still manages to live at home with the help of carers.


I can say without any hesitation that Tricia is solely responsible for the fact that my Mum is still able to live alone (with carers visits) when others thought Mum should be in a home, Tricia supported me and Mum through some very stressful times and her knowledge regarding the care system is second to none.


The most memorable time, and there have been many, is when Tricia came to our rescue a year ago. Mum had a stroke last January and had recovered enough by March to leave hospital.  The medical staff were convinced that Mum should go straight into a home, a decision I did not agree with, and I felt that I was sinking in the massive care system and that no one would listen to me.  The day before the “best interests” meeting at the hospital, Tricia called me and said she would come with me and she assured me it would be OK.  She was absolutely brilliant – I was pretty much invisible but she shone through and saved the day and persuaded everyone around the table that Mum would be fine at home and a year on she still is despite losing her speech – she is very happy and adores Tricia which is plain to see whenever she sees her.


In short, I would trust Tricia with anything precious such as my Mum and I am positive that anything she takes on will be a success as she is one of the most committed people I have ever had the pleasure to know and I now count her as a friend too.


Patricia Brown - Legal Manager (March 2015)



Dear Tricia, I am writing to thank you for the "in house" support you provided for my Mum, L.T. Although we only had use of it before Mum went into a nursing home the person you sent, Claire Duff, was wonderful. Claire bonded with Mum straight away and I always felt safe leaving them whilst I grabbed a few hours respite myself. The service you provided was first-rate and you should be very proud of providing a young lady, full of compassion and humour. 


Barbara Binfield - Daughter of Service User (January 2016)


Having had terrible experiences with previous care providers for my elderly uncle who requires a fairly high level of care, I contracted Tricia and her team to take over. They literally transformed my uncle’s mood and physical appearance in a matter of days.

Now over a year down the line he is more mobile, loves the social interaction with his carers, and even looks forward to going out of the house (something none of the other care companies managed to get him to do). His sense of humor has returned and generally is a much happier person.

The level of care Tricia and her team supply is above and beyond the call of duty.

Mark Stevens - Nephew of Service User (March 2017)


I have employed Care Resource Bureau since July 2016 to help me with the care of my husband W.(T).B who has Alzheimer's.
During this time I have been totally satisfied with the service they have given me.
My husband likes being cared for by all their staff who are cheerful, punctual and efficient and who are always considerate to his special needs.


Vivien Binder - Wife of Service User (May 2017)

We wanted to take this opportunity to thank you for all of the help and support you, Sam and all of the other carers have given Trevor

and indeed our whole family over the last few years. From the early days when you took over from the local commissioned provider we could

all see the difference in Trevor within a few days, it was an amazing transformation seeing him turn into a happier, healthier person

much more like the Trevor we knew and loved. From this point onwards you supplied amazing carers who he really enjoyed seeing

and interacting with. You also  gave us a continuity of service that had been previously missing from the preceding care provider.


The fact that both you and Sam  remained regular visitors to Trevor throughout the duration of his care was very much appreciated

as I know he was very fond of you both. He loved the banter you shared, he was always laughing and joking about having you fired

and getting someone else, but truthfully he was very grateful to have you looking out for him.


We would also like to pass on our thanks to all of the carers who looked after Trevor. we can honestly say that every one of them did a

wonderful job. All of the family and indeed Trevor himself was very grateful to them for the hard work they did for him. On many

occasions they went above and beyond the call of duty to ensure he was kept happy. From the social calls, the shopping at Sainsbury’s,

to his visits to the pub, the Haircut visits and even bringing food from home for him. I can honestly say that he could not have had a better

service from all at CRB.


Needless to say it came as a great shock to us all that we lost Trevor so quickly after what was a very difficult year for him, with so much

time being spent in hospital. We had so many plans for him this year once he was home, settled and on the road to recovery. Sadly this was not to be.

The whole family are utterly heartbroken to have lost such a wonderful, kind and gentle man. He always had a remarkable sense of humour

and was able to make everyone laugh with great ease, and did so at every available opportunity. Trevor had lived in this house since 1946 and

it is with the help of everyone at CRB that he was able to stay in his home until the very end, and for that we are eternally grateful.


From my personal prospective I have always felt that Trevor was in good hands with CRB, and never had any cause for concern. CRB were

always on top of whatever situation presented itself. In addition you assisted us with so many other things like additional equipment, Social Services

GP matters etc.…. The list goes on! I can genuinely say that Trevor’s life over the last few years was greatly improved due a significant amount to the time

and efforts of all at CRB, and for this you have the heartfelt thanks of myself, my wife and indeed the whole family.

Mark & Rima Stevens - Nephew of Service User (May 2018)

Dear Tricia, Sam and Staff, 

Many, many thanks for all your help - your team of carers have been wonderful in looking after my John

Joyce Tutt - Wife of Service User (August 2018)

Dear Tricia,

I am writing on behalf of my husband Steve and my father-in-law Dennis R to say a huge thank you to you and your team for all the care you recently provided for my mother-in-law Audrey. Audrey passed away peacefully at home on 11th March surrounded by her family. She had been so desperate to go home after her month long stay in hospital but we didn’t think it would be possible or practical. However, with the fast track palliative care package she was able to have your carers visit 3 times a day. Dennis was initially quite wary as he’d had a bad experience with carers in the past but he was won over immediately with the professionalism and kindness of your carers. They looked after Audrey so well and it was really apparent whenever we visited her that the personal care was of a very high standard. 
Audrey deteriorated very quickly towards the end and we were very touched to see the genuine shock and emotion on the faces of her carers on the day she died. They were so tender towards her and very kind and sensitive to her family which really meant a lot.
The whole service really was faultless and helped to make a difficult time easier. Please send on a big thank you to all her carers. 

Kind regards.

Paula Rock - Daughter of Service User (March 2019)

Dear Tricia, 

Thank you for your kind attention to Douglas at the end of his life. 

Gunawardena Family - (March 2019) 

To Tricia and all the staff at CRB. 

I would like to thank you all for the care you gave my husband Bernie. 

Happy Christmas to you all

Janet Ball - Wife of Service User (December 2019)

Dear Tricia, 

It is hard to find the words to express my thanks to your wonderful team and, of course, particularly Enamul, Margaret and Renee, for their devoted care of Jimmy during the last 10 months. Enamul, so cheery every morning whilst retaining Jimmy's dignity which was so important to him and us. 

I wish you could have known him before all this happened. 

Please pass on my thanks to them all - I miss them coming in every day, they all helped me so much, inspiring me to carry on and enabling me to keep Jimmy home which is what he wanted. 

My thanks to you too, Tricia, nothing too much trouble when I now you had so many other people needing your attention.

Penny and Alan join me in sending you our grateful thanks and best wishes. 


Dorothea Heyes - Wife of Service User (April 2020)

Dear Tricia, 

I would like to say a big thank you to yourself and the team of ladies that looked after William. He was very lucky to have had such lovely carers.


Diane Hoar - Wife of Service Users (July 2020)

It is always exhausting when looking after a loved one who is ill.

The stress of the situation is lessened enormously having someone who knows what to do when there are emergencies and in the day to day care of the patient. The Care Resource Bureau staff allowed me to have more quality time without undue stress when I needed help with my Husband Paul Daniels before he died.

Debbie McGee - (January 2017)






I have worked alongside Tricia Downes for some years and found her assessment and problem solving skills in the community to be well developed and competent.


Pat Alexander - Physio therapist  (April 2015)

    Herts Handling Training LTD



Tricia was wholly responsible for the professional care of my mother in the family home for over two years, up until we took the reluctant decision to move her into a residential care home.


Throughout that period she demonstrated a level of professionalism and understanding that were second to none.


It is never easy when a loved one reaches the point where family care is insufficient – not only in terms of the logistics and physical demands, but also the emotional ones. Tricia understood what mum needed and delivered above and beyond the call of duty every single day.


Perhaps even more importantly, she understood the feelings of helplessness and guilt for being unable to cope that I was feeling.  She spent a great deal of time informing me of what she was doing with and for Mum, which helped reassure me that the approach we were taking was the best possible for her at the time.


Tricia and Mum formed a close and trusted bond which really made a difference to Mum’s life – and for that I will always be very grateful


I have no hesitation in recommending Tricia to anyone who cares about the health, happiness and wellbeing of a loved one.


Mark Dibsdall - Director (April 2015)


Having had a very bad experience with a previous care provider, I was impressed from the very start with the exceptional service that Tricia and Care Resource Bureau have provided, not only in helping my father, but also in helping get the correct package and funding required in addition to keeping me informed at all times of any progress or change. Tricia sets and achieves very high standards and instils trust in my father, such that good relationships have been developed. It has not only helped my father, but has alleviated so much stress in my own life at being able to put total faith in a care provider.


Charlotte Wren - Daughter of Service User (October 2015)


Having already experienced the care offered in our area I was very disappointed until I was fortunate enough to meet Tricia Downes and her team.

My mother suffered a stroke which has affected her short term memory and she also has early Alzheimer's.

I would highly recommend Tricia she is very professional and provides excellent care.

My mum is now very calm and happy since Tricia has taken over her care. I feel that a weight has been lifted all down to the fact that we have an excellent care provider that we can trust and rely on.

Trish Hubbard - Daughter of Service User (October 2015)


We were recommended to Tricia Downes at Care Resource Bureau from a friend for my father. We have not had any experience in the care industry before and really had no idea where to start.
Tricia and Sam have been invaluable with their guidance and advice, I would have no hesitation in recommending them to anyone who needs help with a family relative.
We started at half hour care visits, that progressed to an hour and now have Live In Care for my father.
Tricia provides a personal and personalised service, specifically tailored for my fathers requirements and needs. She is always available for advice and guidance due to her long experience in the care industry.
She has been helping us for over a year now and my father is still able to live in his own house which is what he really wants to do.


Steve Remsbury - Son of Service User (October 2017)

Tricia, Sam and Carers


Thank you so much for your wonderful care of my husband towards the end of his life.   He was treated with dignity and respect which I know he appreciated.  It made all the difference to our family that he was so well looked after by yourselves.


With our best wishes to you all.


Esme Thomson (Wife of Service User) and Family (July 2018)

Dear Tricia, Sam & Team

Thank you all so much for the care, respect and compassion that you all showed to Colin in his final days.

The help you all gave to me, Lisa and Rachel was beyond just your job, you really cared!

We will be forever grateful.

Thank you once again

Love to you all

Linda Duke (Wife of Service User) - (July 2018)

Dear Tricia, 

Mum has settled in well at TH and is eating and drinking well. Many thanks to all the carers who looked after her for the past year. 

Marcia Fendom - Daughter of Service User (October 2018)

Tricia Downes and her team of carers provided palliative care for my 92 year old mother in the final weeks of her life. We were introduced after my mother’s discharge from hospital and after three years of live in carers due to my mother’s dementia. I was immediately struck by the different approach from Tricia and her live in carer. THEY ACTUALLY CARED .. A LOT. It’s sad to say that this is not a given these days and hadn’t been my experience with the previous teams. The difference that they made was to immediately make my mother comfortable and alleviate her suffering. They also instilled in me the confidence that they knew what they were doing and could be trusted so that I didn’t have to make constant checks. Their experience and knowledge meant that they were able to suggest improvements that would help my mother (for example with her swallowing) things that one would have hoped her GP would have suggested, but didn’t. They gave so much more than they were contracted to provide. The biggest difference was the way that Tricia managed her team. She was able to direct and motivate them and keep tabs on what was happening and always kept me informed. Our live in carer treated my mother as if she were her own. She was as upset as I was upon her passing. I truly don’t believe my mother could have had better care in her final weeks and I will always be grateful to Tricia, L and the rest of the team for what they did. They are truly outstanding people.

David Spate - Son of Service User (February 2019)

Dear Sam,

Thank you for your care and patience to Muriel when it sometimes was not easy. You enabled her to fulfill her deepest wish to remain in her own home until the very end. 

Especially thank you for the dignity which you showed her on her last day. It was very much appreciated.

Bill & Margaret Groves - Son & Daughter in Law of Service User (January 2019

Dear Tricia & Sam, 

Thank you so much for your card, flowers and all the wonderful work you did for Charlotte in her last weeks. You made a huge difference to her well-being and to her family's happiness, and Richard and I are truly grateful. 

Many many thanks to you and your team. 

Capt. John 'Barry' Dinan - Husband of Service User (February 2019)

Dear Tricia and the carers,

Following my email to you I thought I would follow this up by writing to say a big thank you to you all. 

The carers who looked after my mother.

You were all so sensitive and thoughtful to my mothers needs and were committed to making my mother as comfortable as possible in her final days.

We can only express our heartfelt thanks to you all especially as the pressures of COVID-19 make it all the more challenging for you. Please take care and keep safe, the world is a better place with carers like you in it!

Best Wishes

Ania Morgan, Eva and Stefan Doroszkowska - Family of Service User (April 2020)

Tricia & all the lovely carers at Care Resource Bureau

Thank you so much for all the care, kindness and empathy you showed us all in caring for Robert. You made his final days comfortable, and made us feel very supported


Maggie Charlotte & Helen - Daughters of Service User (May 2020)

Heartfelt thanks to you and your band of angels whose care and compassion, gentleness and kindness brought light in to the darkness with each reassuring visit.I cannot thank them enough for how they have looked after my husband and supported me. Worth their weight in gold. Please tell them.

Kerry Kelleher - Wife of Service User (May 2020)