People with disabilities often have limited communication abilities. Augmentative and alternative communication (AAC) is a widely spread method that allows people with communication difficulties to express themselves. People with disabilities are often reliant on care from people in their environment. The law ensures that everyone has the right to a communication and that people with disabilities have a right to self-determination and complicity. However the implementation and outcomes of AAC depend on the conditions in the users environment. The purpose of our study is thereby to understand how personal, relational and organizational conditions can affect care-staffs work with AAC. Data has been gathered doing semi-structured interview with nine informants who work in organizations that carefor people with disabilities. The data has then been analyzed using a thematic analysis. The main result of our study shows that care-staff perceive their role as an enabler for communication. The study also concludes that there are various organizational factors, such as access to resources, that affect the care-staffs work with AAC.