Plans for a new Sutton Coldfield care home have been approved at the sixth attempt despite vehement objections from neighbours.
The Moundsley Hall Nursing Home's plans to develop a site, at 63-65 Penns Lane, were given the green light after a narrow seven to five vote by member of Birmingham City Council's planning committee.
Residents had complained the two-storey building would be too large, overshadow neighbours, cause traffic and parking problems and that a care home was out of character for the road.
The scheme does have the support of the West Midlands Care Association and Birmingham Care Consortium as a much needed facility for the town.
Various planning applications for care homes were submitted between 2007 and last year and plans were also rejected by a government inspector on appeal.
Resident Alan Deeming said: "It is too large to squeeze onto this site."
But Moundsley Hall architect Richard Bailey responded: "The scheme fully addresses all of the issues raised by the planning inspector.
"The scheme would provide a good residential environment for the occupiers of the home without causing any harm to the neighbours."
He added that it would provide "much-needed, high-quality accommodation" and create jobs.
The committee was told by officials that issues raised in the planning appeal had been addressed and there was no reason to refuse.
Coun Maureen Cornish (Con Sutton Four Oaks) said: "This application has been refused five times and refused and dismissed at appeal.
"Very little has changed, it would be overbearing and out of character."
But her colleague Coun Peter Griffiths (Lab Kings Norton) pointed out the plan was smaller than the previous proposals.
Commenting on the decision, local councillor Alex Yip (Con Sutton New Hall) said: "Bitterly disappointed with decision. Simply the wrong call. Planning officials and residents will regret this."