Viewing people in residential cares as passive recipients of care, who are incapable to make choice and take control, contributes to loss of independence. Perceiving service users as powerless suggests that they cannot have both care and empowerment. Society’s negative view and attitude towards people who require social care services can also cause loss of independence. Lack of acceptance and dignity can also cause social exclusion and non-participation. When a service user feels he/she is not being listened to or being cared with dignity, the individual tends to participate less. When the individual thinks he/she has a choice and control over his/her health care decisions, the person is naturally encouraged to participate more. Above all, the general mindset of people who are around about people in residential care can significantly impact participation and independence of service users. Viewing them as incapable, powerless, and showing gestures that suggests they are different can cause non-participation and social exclusion.Empowering individuals in health and social care is vital to their treatment and wellbeing. However, organizations might face barriers and difficulties in doing so. The organization can achieve the best possible outcomes through careful planning, policy making, risk assessment, management of medication, providing what the service users wants and involving them in the decision making process.