Direct Homecare
Northern Ireland
Safe, nurse‑led care at home and in supported living — across all five HSC Trust areas.
Direct Homecare (part of Direct Healthcare 24 Ltd) delivers personalised domiciliary care and supported living, with particular expertise in learning disability, autism, mental health, and complex community nursing support. Our leadership team includes a Clinical Director (RN) and a Registered Manager with extensive experience of regulated homecare.
Our Values
What We Do
Domiciliary care (home care). Person‑centred daily living support, personal care, enablement and reablement in people’s own homes. Services align to RQIA registration requirements and the Domiciliary Care Agencies Regulations (Northern Ireland) 2007 and Minimum Standards.
Supported living. Tailored packages that keep housing and care separate, maximise independence, and use Positive Behaviour Support (PBS) and least‑restrictive practice.
Nurse‑led complex care. Hospital discharge support (including step‑down), medicines management aligned to NICE NG67, continence, nutrition, skin/tissue viability, and clinical oversight for people who may not easily communicate pain or illness.
Learning disability & autism. PBS‑informed support, sensory‑aware environments, and skilled staff trained in de‑escalation and human‑rights‑based practice.
Mental health in the community. Recovery‑focused support that works alongside Trust teams and primary care under NI safeguarding policy.
Where we work: We support people across Belfast, Northern, South Eastern, Southern and Western HSC Trust areas.
Our standards & governance (Northern Ireland)
Regulation & inspection. In NI, domiciliary care and supported living services are regulated by the Regulation and Quality Improvement Authority (RQIA) — the independent health and social care regulator. We design our services to meet RQIA regulations, Minimum Standards and inspection domains.
Domiciliary Care Agencies Regulations (NI) 2007. We align our Statement of Purpose, service user guide, staffing, notifications, records and quality assurance to the requirements set out in the Regulations.
Safeguarding. Our practice follows Adult Safeguarding: Prevention and Protection in Partnership (2015), including consent/capacity, information sharing, and proportionate responses across the prevention‑to‑protection continuum.
Medicines management. We implement NICE guideline NG67 for adults receiving social care in the community (governance, assessing support needs, record‑keeping, staff competence, and joint working).
Workforce regulation (NISCC). Social care staff in domiciliary/supported living settings are required to register with the Northern Ireland Social Care Council (NISCC) and practise to the Standards of Conduct and Practice; our recruitment and supervision model is built around these standards.
Clinical Leadership & Team
Nurse‑led oversight. Our Clinical Director (RN) oversees governance, recruitment standards and complaints; our Registered Manager is an RN with regulated homecare leadership experience.
Competencies & training. Mandatory and specialist training across PBS, autism, de‑escalation and non‑restrictive practice, MCA, IPC, moving & handling, nutrition/hydration, and medicines optimisation — refreshed regularly in line with RQIA expectations and NISCC standards.
Who We Support
Adults with learning disabilities and/or autism who benefit from PBS, structure, and sensory‑aware environments.
Adults with mental health needs who require consistent, recovery‑oriented support in the community.
People with complex long‑term conditions requiring nurse‑supervised care at home, including safe medicines support under NG67.
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