A fundamental recommendation for any Care Home deployed as a cloud/hosted solution is to have a Medic-Call local survivable gateway which, when used with a Cloud system, is often referred to as a hybrid solution. Should an internet/connectivity failure occur, the Home’s phones, including resident’s analogue or SIP/IP room phones, can failover to the local gateway ensuring communication within a Care Home is maintained. Alternative solutions for internet access or traditional ISDN services can also be applied to retain external access.