It's OK for the first iterations, but if you really care about your product, you should hire a HTML/CSS hacker.
Bootstrap is definitely useful if you're just tinkering - it makes a minimum viable product look sort of legit ;)
But I would certainly invest in specialized developers to make a lighter-weight, in-house UI if I were really serious about a website.
What is always good to have is a designer or at least a developer with an eye for aesthetics, to use the Bootstrap elements in an elegant way. Otherwise, what would you "hack" about HTML/CSS? Either reimplementing Bootstrap, or playing with the latest and greatest that won't work in anything else but the latest Chrome (see the IE6/7 discussion).