Tier System

The TIER System is Life Change Care’s bespoke working model. It was written for the express purpose of facilitating an ethical, sustainable and quantifiable standard of care. To date, it has been a critical component in the ongoing success of the company.


The framework itself condenses cutting-edge developments in psychological research into techniques that our entire staff teams follow. It also serves as an invaluable tool for the management and operations teams to observe ongoing performance and achieve quality assurance outcomes. 

  • Robust
  • Proactive
  • Dynamic
  • Sustainable
  • Regulated
  • Holistic

Created by Julie

The TIER model was developed by company Director Julie Stirpe as a means of incorporating her knowledge in the field of neurosequential development to pioneer a system of residential care that would better meet the needs of looked after children and the professionals who care for them.

Photograph of Julie Stirpe in a corporate boardroom, with other professionals in the background

Trauma Informed Emotional Regulation is the framework that dictates how we provide care and manage the staff teams who deliver it. All children and young people admitted to our homes are initially assessed to measure the severity of their high risk behaviours. This is then tracked and monitored over the course of their residency using a dynamic response system. The higher the presenting risk, the more resources are put in place to reduce it.

However, we also understand that children cannot be helped to achieve emotional regulation if their carers are themselves dysregulated. As such, the TIER model implements a caring for carers system, in which the stress levels of staff are monitored as well. This practice is essential in mitigating the high rates of staff turnover seen in the care sector. As a result of investing in employee support in this way, Life Change Care benefits from much higher employee retention when compared to the national averages.

Overall, this practice enables us to monitor and evidence the quality of our care with total transparency. Targets for the stabilisation of children and young people who enter our care are set and progress towards these outcomes is measured at regular intervals. As a result, we are able to make amendments to a child’s care plan with an informed understanding of their needs, making sure that transitions to a new placement or independent living situation are conducted when justified with evidence that they are suitable.


“Our goal is to provide the children and young people in our care with an exemplary quality of therapeutic residential care.”