Based on an overview of the development of home-based care in recent years，this report analyzes the home environment of the elderly in Beijing from five aspects：policy evolution，community service，home environment，smart home and other aspects. The top-level design of home-based care in Beijing is relatively perfect，but policy promotion is mostly issued in the form of official documents rather than laws and regulations，and the boundary between the government and the market is still vague. The supporting policies and preferential policies of Beijing community pension service station have not been fully implemented，and the service of community pension service station is relatively limited. There are still many problems in the home environment of the elderly in Beijing，Tianjin and Hebei region，such as the low installation rate of handrails in the house，the low popularity rate of toilet，and the relatively poor barrier free environment in the community. At the same time，the smart home environment of the elderly is becoming more and more common，but the differences between urban and rural areas and regions need to be paid attention to. At the same time，based on the experience of home care in Japan，it is suggested that China should establish a home care service system with equal emphasis on prevention and care，and take the establishment of long-term care insurance system as an opportunity to guide home care service and institutional care service，and clarify the division of responsibilities.