How will community based respite environments evolve to respond to the changing needs and demographics of people living with dementia in Australia? Are they still relevant and what role do they have? Do people still want this type of service? Alzheimer’s WA has been on a 15 year journey to transform its traditional day centre model into a contemporary purposefully deigned community based service that not only provides respite for the carer but that also provides an opportunity for rehabilitation of wellbeing and personhood for the person living with dementia. In this presentation we will explore the lessons learnt on this evolutionary journey across our three houses, including activity paradigms that turn passive recreation into meaningful engagement, moving of a workforce from care staff to support facilitators including the attributes and competencies needed for this new role, enabling design of the houses that support the household model and the how the model works in the funding and accreditation environment we have. The presentation will share the challenges to implementation and most importantly the measurable outcomes for those attending and using the service. Its day care, but not as we know it!