Most current projects aimed at in-home monitoring for the elderly appear to focus on demonstrating technical feasibility and ensuring safety. In doing so, they often overlook the complexity of the interactions between the elderly and the caregivers. This study explores this complexity by adopting a value-inspired design perspective. Following an action design method, we describe the (re)design of the system and service protocol for an elderly-home monitoring effort. The work requires that we leverage the capabilities (of the technological infrastructure system as well as the service providers) to reconcile the values held by the participants (the elderly and their caregivers). We report design principles developed via this effort, and show that they can enhance the outcomes in such projects.