Teach Suaimhneas is a care facility offering a holistic home environment for terminally ill adults, to live out their final months in this world with dignity, peace and care. It is located in the existing Moy House, an 18th centuary Italian inspired villa on the coastline of Carrowgower, Co. Clare. The site is framed by the local River Moy. The target audience for Teach Suaimhneas are terminally ill patients from the age of 18 upwards, that are expected to pass within 12 months. The building previously used as a B&B and to film the television production of “Smother”, will be adapted for its new use while retaining its original historic fabric and features. The core value of this project is to create a patient centred facility following existing principles and framework, while also collecting primary information from interviews, site visits and databases to add another dimension to the standard of care the residents of Teach Suaimhneas will receive. The aim of this design would be to provide dignity and support in a persons final days which includes physical comfort and well being as well as the emotional, social and spiritual aspects of care. A core aspect of this project is also the transformation of an unused residential building into a one of a kind care facility. The concept of Teach Suaimhneas is to create a unique journey for each patient. Like the journey the River Moy takes to meet the sea, the crossing from this life into the next is gentle and patient, leaving traces of each individual behind for everyone to admire once they have passed on. This concept will provide proof that a delicate and holistic approach to the interior design of the hospice could enhance the dignity, comfort and peace that a patient and their family experiences.