An elderly care and security system comprises one or more networked lighting luminaire (100) installed in a room, the luminaire (100) comprising: A) one or more sensors (101-107) configured to: A1) detect a fall; A2) detect smoke; A3) detect glass break; A4) detect presence of another person in the room while the elderly person is lying in bed; and A5) detect presence of a person while an alarm system is active and detect no presence for a period longer than a predetermined time interval; B) a lighting unit (110) controlled to adaptively illuminate the room; C) a wireless bi-directional transceiver (140, 150), loudspeaker (122) and microphone (131, 132), configured to be activated automatically for communication with the elderly person, a caregiver or relative; D) a door locking/unlocking unit (184) with connectivity to an electrical door lock, configured to automatically lock/unlock a door of a safe room for the elderly person; and E) an alarm activating unit (185), configured to automatically activate/deactivate an alarm.
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