As the population ages, a key question is how to support older people who are in need of some form of care. This article highlights how older people may be embedded in multigenerational familial care networks. It explores the ways in which care and support for great-grandparents are worked out in multigenerational families, as well as between informal and formal sources of support. Methods involve qualitative life history interviews with five four-generation families. Findings suggest that care is worked out through a balance of care, need and support across generations. Depending on available resources, this produces a variety of support outcomes, including: home-based family care with and without supplemented professional help, sheltered accommodation with family care, institutional care as well as fluctuations between different support patterns. Supporting informal care networks through professional support can help multiple generations balance intergenerational relationships across the shifts between greater dependency and independence.