In an increasingly ageing population, solutions are being sought to enable older people to live independently in their own homes. Assistive technology has the potential to develop supportive environments for older people through “ambient assisted living”. This chapter is based on results from the implementation of an assistive technology project designed to provide formal carers with patient information to support them in their case management. The study followed the trial use of a telecare system, capturing the experiences of formal carers and documenting the impact of assistive technology. The findings identify that assisted living devices have the potential, once trust is established, to support formal carers to undertake their role more effectively. However, in accepting assistive technology as part of an integrated care solution, there are implications on the role and responsibilities of the formal carer, existing mechanisms for delivering community care and the quality of the relationship between the carer and the cared for. The paper concludes by considering the challenges for assistive technology if it is to be directly supportive of formal care-givers.