Elderly people need care from health to basic needs for their daily lives. Needs for social care, safety and security, attention, love, and respect are some of the needs to be adequately addressed. It is an inevitable trend to develop social support services to assist disadvantaged groups. For the highest performance, the system of social support services is influenced by many different factors and in different dimensions, such as (1) laws/policies, (2) service providers, (3) the elderlys family and (4) the elderly themselves. Stakeholders have made many recommendations to improve the service performance and quality as well as better satisfy the needs of the elderly. Through an assessment of the influence of those factors, the authors proposed solutions for enhanced quality and performance of the elderly care services in Hanoi City.