In the (near) future, a growing number of older LGBT people will ‘age in place’, receiving health and social care in their homes and wider ageing environments until a very advanced age. This article discusses the results of a survey research among 115 LGBT people aged 65 years and over who are ageing in place and who are weekly and monthly receivers of health and social care services, and follow-up interviews with 10 people. The research was situated in the Netherlands. The results show that older LGBT people’s experiences with ageing in place are related to differences in how ageing environments are able to accommodate LGBT lifestyles. The results further shed light on the meaning of receiving health and social care at home as an older LGBT person, and the ways in which LGBT life histories and identities are expressed in care relationships, both in verbal and in home-making practices. Finally, the results suggest that the links between older LGBT people and the wider LGBT community are vulnerable, and neighbourhood-based activities may not be sufficiently responsive to older LGBT people.