The Trust has a long history of caring for elderly people in Berkshire and Oxfordshire. We manage six almshouse sites comprising of 67 almshouses. The Trust provides warm and comfortable self-contained
dwellings. Residents are encouraged to lead independent lives but are supported by wardens to ensure their general well being. The term "Hospital" refers to the medieval context of hospitality and caring.

The Trust is self funding and independent. Sir Richard Abberbury endowed the Trust with the Parish of Iffley in Oxford and other lands in the City of Oxford, Cowley and Littlemore. Today the Trust manages a substantial property portfolio consisting of commercial, industrial, agricultural and residential properties in Berkshire and Oxfordshire.

The Trust is very much a family charity, having been under the patronage of the Willie Hartley Russell MVO and the Hartley Russell family of Bucklebury since 1632 when John Packer acquired the Donnington Castle Estate."