Background: Person-centred end-of-life care was set up by a Hospice in Scotland to enhance care in the community and support more people to be cared for and die at home. The underpinning theory for the model of care and the service was based on the Person-Centred Practice Framework developed by McCormack and McCance. Aim: To set up and evaluate a person-centred end-of-life care service at home through understanding both the key constructs that underpinned the service model as well as the outcomes for those who received the care. Method: A shared vision was developed for the service amongst stakeholders with jointly developing and agreeing on the necessary infrastructure that would underpin the service. Pluralist approach with the aim of understanding both what was happening and how it happened as the service was developed and delivered. To provide a deep and realistic illustration of the components and structure (mechanism) as well as outcome of the service through a detailed process information and understanding as to what happens and why. Findings: This study has brought to light the essential elements of the service and how and why these worked. Providing an in-depth understanding of a person-centred model of care that enables people with non-medical palliative care needs to be cared for and die at home. Thematic analysis highlighted three main constructs of the model; flexibility and responsiveness within the service, relationship-based care and enablement and empowerment. Conclusion: It was evident that the underpinning model of care provided a sense of safety at home which enabled people to stay and being cared for at home. This need to feel safe at home was fundamental to enable people to stay at home and die at home for those who participated in the study.