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Aim: Older adults are increasingly encouraged to continue living in ordinary housing with support from home care services (HCS). However, few studies have focused on older adults’ safety in home care. This study explored associations between sense of security and factors related to demographic characteristics and HCS. Methods: The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (age 65+) granted HCS at any time between 2016 and 2020 (n = 82,834−94,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent variables (demographics, health and care-related factors). Results: The sense of security tended to increase between 2016 and 2020 and was significantly associated with being a woman, living outside big cities, being granted more HCS hours or being diagnosed/treated for depression (COR 2–9% higher). Anxiety, bad health and living alone were most strongly associated with insecurity (COR 17–64% lower). Aside from overall satisfaction with HCS, accessibility and confidence in staff influenced sense of security most. Conclusion: We stress the need to promote older adults’ sense of security for safe ageing in place, as mandated by Swedish law. HCS profoundly influences older adults’ sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults which is prerequisite for person-centred, and high-quality care. Future research needs to focus on sustainable approaches of implementing person-centred care considering the complexity of an increased older population in need of advanced care in their homes, and at the same time an increased shortage of staff and lack of appropriate competence.