This study suggests that participation in a community-based home exercise programme can improve cognitive and physical function and independence in ADL in people with Alzheimer’s disease. Improving functional ability in people with dementia has great potential to benefit not only the person with dementia, but also their informal carers and wider health and aged care systems. With the number of people with dementia increasing and few treatments available, the development and testing of such interventions is now critical. Further research into the role of exercise as an intervention for people with dementia is now required, with larger trials over a longer time period which also assess the impact on carer health and well-being.