Raising the Standards for Complex Care at Home.
ObsidianHomecare
Trusted Before We Arrive.
Complex Care. Always Safe. Always Personal.
Expert support for tracheostomy, ventilation, and high-dependency needs — delivered at home with clinical precision and compassion.
PREMIUM CARE.
Tailored packages. Governance and quality at the core.
SPECIALIST EXPERTISE.
Nurses, HCAs, and Social Care Workers for complex, high-dependency needs.
FAMILY-FOCUSED.
Care shaped with families. Reviewed. Adapted. Always evolving.
Premium Care, Every Moment, Every Time.
Obsidian delivers nurse-led homecare for children and adults with complex needs across Ireland. Every care plan is approved and funded by the HSE, giving families peace of mind that the right care is in place. We work closely with families, hospital teams, and case managers to build a plan that blends advanced clinical support with daily living assistance — all delivered at home with safety, consistency, and trust at the core.
For Children.
Specialist Care, At Home.
Caring for a child with complex medical needs can feel overwhelming. With HSE-approved support in place, our clinical team works with you and your hospital specialists to create a care plan that meets every need — from tracheostomy and ventilation to PEG feeding and seizure management. A stable, familiar team supports your child at home, bringing reassurance and professional skill into everyday life.
For Adults.
Safe Support, Every Day.
Adults with high-support needs deserve care that is both safe and respectful. With HSE-approved complex care in place, we work with you and your hospital team to design a plan that meets daily life. From neurological conditions to spinal injuries and complex disabilities, our nurses provide consistent care at home so you and your family can focus on living with dignity and peace of mind.
Trusted Care. Proven Results.
Every family deserves the comfort of safe, specialist care at home. With experienced nurses by your side, complex care becomes not just possible, but dependable — every day, every moment.
Care That Families Can Trust.
Care That Families Can Trust.
24/7
24/7
Nurse support, whenever needed.
Nurse support, whenever needed.
100%
100%
Interventions by registered nurses.
Interventions by registered nurses.
9/10
9/10
Families keep the same care team.
Families keep the same care team.
365
365
Care that never stops.
Care that never stops.
98%
98%
Nurses with 5+ years’ acute experience.
Nurses with 5+ years’ acute experience.
100%
100%
Compliant with HSE complex care standards.
Compliant with HSE complex care standards.
"We blend compassionate support with clinical excellence, ensuring that every individual—no matter their age or needs—receives the highest standard of personalised, nurse-led care. Because home should always be a place of comfort, dignity, and expert care."
— Obsidian Homecare Services.
Complex Care. Made Personal.
Every need is different. Every plan is clinically overseen. Always safe, always precise.
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Clinical Oversight.
Guided. Managed. Always Reviewed.
Every complex care package has a named Nurse Manager who oversees daily delivery, supports frontline nurses, and ensures standards remain high. This extra layer of management gives families reassurance, helps care adapt smoothly as needs change, and guarantees alignment with HSE requirements.
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Our Nurses.
Expertise You Can Trust.
Many of our nurses come from ITU, HDU, and specialist hospital settings, bringing advanced skills into the home — from ventilation and tracheostomy to PEG feeding and seizure management. Every nurse is experienced in handling high-acuity situations with calm precision, while also supporting families with empathy and reassurance.
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Personalised Care Plans.
Tailored to Every Individual.
Every client receives a care plan designed around their unique needs, preferences, and lifestyle. Our plans integrate clinical goals, family input, and practical daily support, ensuring care is not just medically safe but also personally meaningful. Regular reviews allow the plan to evolve as needs change, keeping care effective and responsive.
Support with Patient Discharge.
Arrange a call with our Nurse Manager to coordinate safe discharge to home.
Who We Support.
Specialist care for those who need more than standard home support. We work with children, adults, and individuals living with complex conditions where daily clinical interventions — such as tracheostomy, ventilation, PEG feeding, or seizure management — are essential for safety and quality of life.
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Specialist homecare for children with medical or developmental conditions that require continuous nursing oversight and structured support.
We provide:
Paediatric nursing for tracheostomy, ventilators, PEG/feeding tubes, and seizure management.
Support for complex neurological conditions and developmental disabilities with clinical needs.
Daily assistance with routines, education, and social participation.
Behavioural and emotional strategies tailored to each child’s needs.
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Nurse-led care for people with intellectual disabilities where additional complex medical needs are present.
We provide:
Clinical oversight for epilepsy, dual diagnoses, PEG feeding, and medication management.
Skilled daily assistance and safe mobility support.
Behavioural strategies for safety and stability at home.
1:1 or 2:1 staffing when required for behaviours of concern.
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Specialist care for people with the highest levels of dependency, often with continuous clinical requirements and full-time packages.
We provide:
Advanced interventions including PEG feeding, tracheostomy care, and seizure protocols.
2:1 or 3:1 staffing where clinically required for safety and stability.
Full support for mobility, positioning, and personal care.
Stability and dignity for families managing long-term, high-dependency needs.
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Nurse-led homecare for adults living with long-term or progressive conditions requiring specialist oversight.
We provide:
Complex care for neurological conditions such as Motor Neurone Disease, advanced MS, and Huntington’s.
Long-term management and rehabilitation support for spinal injuries.
Clinical oversight for chronic illness requiring structured interventions.
Daily routines supported by a consistent care team, overseen by experienced nurses.
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Specialist care for individuals whose mental health needs are combined with high-dependency or clinical requirements.
We provide:
Nurse-led oversight for complex medication regimes or dual diagnoses.
Skilled behavioural support for stability and safety at home.
1:1 or 2:1 care where behaviours of concern require higher staffing levels.
Partnership with families and specialists to keep care consistent and safe.
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For clients who cannot be safely supported by standard homecare, we provide round-the-clock, nurse-led complex care.
We provide:
Small, consistent teams of nurses delivering continuous care.
Clinical interventions (ventilation, tracheostomy, seizure management, PEG) built into daily life.
Full support for meals, mobility, positioning, and personal care.
Reassurance for families knowing expert support is in place day and night.
Funding and Support Options.
Clarity on Costs. Guidance on Support.
We guide families through HSE-funded packages, tax relief, and other supports — making funding clear, transparent, and simple, so care is never left to chance.
Why Choose Us.
We are fully compliant with HIQA standards and all relevant Irish regulations, ensuring the highest level of care and safety for every client. Our teams receive continuous training to meet these standards, so you can trust that you’re receiving not just compassionate care, but care that is clinically overseen and professionally managed.
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Clinical Oversight.
Each package has a named Nurse Manager who reviews care daily, supports the nursing team, and ensures everything runs safely and smoothly.
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Specialist Expertise.
We focus exclusively on complex care — with nurses trained in ventilation, tracheostomy, PEG feeding, seizure management, and high-dependency support — going far beyond routine homecare.
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Personalised Plans.
Care plans are individually tailored and regularly reviewed, ensuring they adapt as needs evolve.
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Highest Standards.
All care follows national regulations and clinical best practice, guaranteeing safety and quality.
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Trusted Team.
Our healthcare assistants and nurses are carefully selected, vetted, and trained to deliver care with professionalism and integrity.
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Responsive Support.
24/7 on-call assistance provides families with reassurance that help is always available.
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Proactive Care.
We closely monitor health changes, manage risks, and maintain strict infection control to safeguard every client.
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Advanced Matching.
We carefully match staff to clients based on skills and compatibility, building trust and meaningful connections.
The Obsidian Approach to Care.
Complex care at home is never simple — but it should always feel safe. Our approach is built around nurse leadership, continuity, and compassion, so families can trust that even the most advanced care needs are managed with confidence and dignity.
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Who We Are.
A dedicated complex care provider, focused on bringing hospital-level expertise into the home. Every package is overseen and delivered by experienced nurses who know how to balance clinical precision with genuine care.
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Why We Exist.
To give children and adults with complex needs the chance to live safely at home, surrounded by family, without compromise on care or quality of life.
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What We Deliver.
Specialist nurse-led homecare for children and adults with complex needs — including tracheostomy, ventilation, PEG feeding, seizure management, and high-dependency support where severe intellectual or physical disability requires advanced clinical care.
Work with Us.
Make a difference where it matters most — at home, with families, delivering specialist care. Your role matters — every visit, every shift, every moment. If you bring expertise and compassion, we’d like to hear from you.
How Care Packages Reach Us.
Referral Through the HSE.
From Hospital to Home, Made Simple.
When a specialist team identifies the need for complex care, your local CHO assesses and approves the package. From there, the HSE commissions Obsidian — and we assemble your dedicated, nurse-led team.
Referral Through Your Family.
Start with a Conversation.
Families can reach out to Obsidian directly for guidance. We work alongside hospitals and CHO teams to support the process. Once the HSE approves, Obsidian can be nominated as your care provider.
The Family Journey with Obsidian.
What Families Can Expect at Home.
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Medication and Equipment Management.
Tube care, suctioning, ventilator routines, seizure protocols.
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Safety and Escalation.
Clear escalation plans; 24/7 nurse on call.
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Infection Prevention.
Evidence-based protocols for the home setting.
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Documentation and Record-Keeping.
Accurate nursing records and handovers
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Continuity.
The same lead nurse; stable, familiar faces week after week.
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Partnership.
We work closely with your hospital and CHO team.
How Care at Home Works.
Complex care can feel confusing — we’ll guide you through the HSE process, explain what to expect, and help your family prepare.
Frequently Asked Questions.
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Most complex care packages in Ireland are assessed and approved by the HSE (CHO). We’ll guide you through the process and liaise with your clinical team
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Yes. Families can contact us directly and, once a package is approved, nominate Obsidian as their preferred provider.
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Yes — we support families across cities, towns and rural communities through the 9 CHOs.
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No. We focus exclusively on nurse-led complex care. (No general or palliative services.)
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Urgent cases can be mobilised within hours once the HSE package is approved and clinical handover is complete.
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Yes. Our model prioritises continuity — a small, consistent team with a single lead nurse.
Discover Obsidian.
Complex Care.
At Home.
Support, Your Way. Whether you’re a family, a hospital team, or a nurse, we’re here when you need us — with clear guidance, real expertise, and a direct response.
Call Us. Always Here.
Speak with our team any time.
Email Us. Quick Guidance.
Get the answers you need, fast.
Register Online. Get Started.
Apply through our secure candidate portal.
Candidate Portal >