Long-term residential care operates in the shadows; too often viewed as a necessary evil best left invisible. This book is takes a different approach. It is about daring to dream about developing alternative forms of long-term, residential care based on an understanding of what exists today and of what is possible in the future. Taking into account the fact that the overwhelming majority of residents and providers are women, the book makes gender a central concern in planning for care that treats both workers and residents with dignity and respect. The chapters do not set out the perfect blueprint for such care. Rather they are thought-provoking essays, based on the research and experiences with care today, intended to stimulate a start in designing long-term care that we would be willing to call home.