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The practice of segregating people who require specialist dementia services from residents requiring other levels of care is beginning to be questioned. The ageing of the population, along with the accumulation of long-term health conditions such as dementia in older people indicate there will be an increasing demand for Aged Residential Care facilities. There is a growing awareness of the need to transform Aged Residential Care facilities into places where people can continue to live in ways that matter to them and engage in activities they value, with support. This thesis explains the transition of residents from a traditional Aged Residential Care facility to an innovative dementia-friendly village where they are supported to live life as normally as possible. Additionally, residents who require specialist dementia services are not segregated from the rest of the community within the secure perimeter. The case study, guided by a critical realist theoretical perspective, explains the process and outcomes of the transition of residents from Whare Aroha CARE to The CARE Village. Data for the study comprised transcripts of semi-structured interviews, records of observation of resident daily life, documents and photographs. Forty-two facility staff, residents, their family members and key informants participated in the study. Analysis of study data using a process of retroduction enabled three underlying mechanisms generating the events contributing to the process of the transition to be identified. These are'they changed the culture of the workplace to enable person-centred care,''they created a physical environment that supports the vision of people living …