Ageing in the family is a fundamental element of ageing in the community and of the whole elderly care system. Contemporary demographic and family changes have brought several structural challenges to the development of traditional family and community-based elderly care. For instance, ageing families and empty nesting will increase the pressure on the supply of community-based elderly care services, the increasing ageing will create family pressure and force the professional upgrading of community-based elderly care services, and changes in intergenerational relationships and residence patterns will increase the diversification of elderly care service demands. Against this backdrop, the primary task of strengthening home-based community elderly care is to support the development of family functions, improve the home-based community elderly care service system by taking family building as an opportunity, and build a Chinese style “elderly care community” on the basis of a solid cultural consistency.