China is set to be an ageing society soon. Giving a rising life expectancy and lowering fertility rate，China is ageing rapidly in recent decades，the result of which is a surging demand for care among physically vulnerable pensioners. China introduced its plan to pilot a scheme on long-term care insurance，and Guangzhou was chosen as one of the experimental city launching the scheme in July，2017. This article is to review the practice of this local pilot scheme in the city，discussing the effect of the scheme，and the valuable experience concerned，and the improvement for the near future. This article will firstly review the experiences alongside a snapshot on the national practices in other cities in the country before getting into the backgrounds and practices of Guangzhou. Secondly，targeting to Guangzhou’s services，the study goes further；second-hand data analysis and in-depth interviews were employed as research methods to explore the demand and the provision of elderly care services in Guangzhou. This article reveals that there are key challenges in future reform to be addressed：great amount of funding is invested，but the stability of funding is doubted；the application process is complicated and time-consuming；the development of institutional care，home care and community-based care is unbalanced；the standard and the procedure of subsidy for home care are inadequate. In terms of the conclusion and expectation，the study offers suggestions for further implementing and improving the long-term care insurance，hoping for the correction of the deviation in pilot city and for the realization of the idea that the elderly has nourishment，dependence，joy and security.