Background Incontinence is a common condition among older women receiving home care and residing in nursing homes. Incontinence is a risk factor for social isolation and physical deconditioning, is associated with depression, falls and early mortality, and impairs quality of life.   Patients’ experiences are one of key indicators of care quality, yet research exploring older persons’ perspectives on quality of continence care remains limited. A recent scoping review (submitted) showed that continence care is often not tailored to older persons’ needs and wishes. Aim To examine what constitutes quality of continence care from the perspective of older women receiving home care or residing in nursing homes in Sweden and Canada. Method Older women (65+) with urinary or/and fecal incontinence were interviewed in their homes (n = 23) and in nursing homes (n = 27). Interviews were transcribed verbatim and analyzed by qualitative content analysis.    Preliminary results There is considerable similarity in themes among older women, despite their differing countries. All emphasized the importance of communication and shared decision-making. Intimate care required staff attention to dignity, autonomy, and privacy. Care quality depended on the attitudes of and relationships with the staff. Participants highlighted the importance of comfortable, safe incontinence products and adapted physical environments. Differences between home care recipients and nursing home residents appeared regarding readiness to accept intimate care from male staff, the need to adapt to staff visiting times, product deliveries and sharing, and bathroom adaptations.  Conclusions There is a need to improve delivery of care to better meet the needs of care recipients. Quality continence care should involve care recipients in decision-making, promote respectful communication, ensure privacy, enable gender-appropriate care, secure product management, provide adequate staffing, continuity, educated staff, as well as adapt facilities.