Background New Zealand cities generally rank highly on international liveability measures. Life expectancy at birth is forecast to increase from 80 years to 85 years in 2050 and infant mortality is expected to decline. In 2050 the population is predicted to reach 5.3 million, the median age to rise from 36 years to 43 years and the percentage of people 60 years of age and older to rise from 18 percent to 29 percent. The population of New Zealand, like other developed nations, is ageing. The ecare system utilises home automation that combines internet communications, social networking, telehealth, activity of daily living (ADL) monitoring, cognitive assists, medication management and two-way video chat technologies into one flexible, user friendly, and affordable package. The ecare System begins with an interactive computer (no mouse or keyboard) along with sensors in the client’s home or facility. Typically placed in a high-traffic area, the ecare System quietly listens to the activity and telehealth wellness sensors while providing a simple, intuitive interface (interactive touch and non-interactive TV versions available) for the client to receive social interactions from family, keep up with current events, play games, and receive cognitive prompts throughout the day.