Death and dying are a constant presence in the life and work of care homes. Residents stay, on average, around 20 months (nursing homes) or 36 months(residential/social care homes/assisted living) and die there. The care home is therefore the setting for the last major event of each resident's life. Yet these experiences of the very old at the close of their lives have received remarkably little attention either in practice or in research. Nor have churches and theologians given their oldest members anything like the concern for their spiritual wellbeing that they give to the young. The heart of this book will aim to give voice to something similar from some of the oldest old as they reflect on their pilgrimage of faith from the perspective of extreme old age (over 90). In particular the authors explore what this perspective has to say to the other members of their faith communities, particularly in terms of the things that are seen as being of importance and value. The particular significance of reflections arising from the experience of approaching death will be explored. This is one area where religious thinking is often out of step with contemporary imagery and language.