Our study aims at investigating the unit manager’s, within LSS, perceiveddiscretion, when people with Down´s syndrome develop Alzheimer’s disease. We wanted to know what they perceive as limiting factors or facilitators in order to meet changing and/or emerging needs, as well as how they interpret their discretion in relation to this. We have conducted semi-structured qualitative interviews with five unit mangers within LSS.When analyzing the interview material, we have used a theoretical approach from a street-level bureaucracy and from the unit managers’ perceiveddiscretion point of view.Our study’s result demonstrate that the unit managers are experiencing a wide discretion and do not feel a need to widen their identifieddiscretion.