Social inclusion and citizenship form the key objective of "Valuing People Now" (2009), but achieving this meaningfully with people whose behaviour can challenge services remains elusive for many services. This article describes the philosophy, development, operationalisation and evaluation of a person-centred day opportunities and supported lifestyle service which is successfully placing service users at the heart of their local community. Its innovation lies in embedding clinical input directly in the support model, creating interdependent partnership working across agencies and developing frontline staff to become highly skilled practitioners.