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Middlefields House offers high quality, personalised care, including respite care to those who need it and care for those at the end of their lives. Care for those living with dementia...
Care Provided by Middlefields House
Primary Care Categories
- Older Person Care
- Dementia
Length of Stay
- Permanent Care
- Respite Care
Care Types Provided
- Residential Care
- Dementia Residential Care
- For a maximum of 48 Service Users
Dementia Care TypesMild Dementia
Someone living with our definition of "mild dementia" might experience some or all of the following:
- Memory problems such as misplacing items and not be able to recall recent events (however, in some forms of dementia a person's memory may be unchanged)
- Difficulties thinking through problems and planning, making decisions
- Language and communication issues such as finding it difficult to recall the appropriate word in a conversation or following a conversation
- Poor orientation, getting lost in areas previously familiar to them
- Difficulty judging distances (more falls than usual)
- Changes in their normal mood including anxiety and depression
- In certain types of dementia, personality and behaviour changes may be present alongside or instead of issues with memory or concentration.
Moderate Dementia
Someone living with our definition of "moderate dementia" might experience some or all of the following:
- Worsened memory problems. Not always recognising own family members and friends. Repeating the same questions over and over again
- Worsened language and communication issues, forgetting what they are saying mid-sentence. Not being able to understand what someone else is saying
- More frequent confusion, e.g. about the time of day or where they are, including their own home
- Apathy, depression and anxiety
- Believing things that aren't true (paranoia)
- Frequent hallucinations
- Lack of emotional control, quick to anger, fearfulness, sadness
- Loss of inhibition
- Difficulties sleeping or waking during the night and behaving as though it is daytime - loss of circadian rhythm.
Advanced Dementia
Someone living with our definition of "severe dementia" might experience some or all of the following:
- Severe memory problems. Not recognising family members and friends. Not being able to recall their own name
- Severe language and communication issues, not being able to understand what someone else is saying
- Severe confusion, e.g. about the time of day or where they are, including their own home
- Apathy, depression and anxiety
- Believing things that aren't true (paranoia)
- Frequent hallucinations
- Lack of emotional control, quick to anger, fearfulness, sadness
- Loss of inhibition
- Difficulties sleeping or waking during the night and behaving as though it is daytime - loss of circadian rhythm.
Verbally or physically aggressive behaviour
If your loved one displays this type of behaviour you may need a care home that has specially trained staff. Verbal/physical aggression is often defined:
- Consistent shouting and screaming
- Verbal abuse
- Physical abuse
How we define Dementia Care Types
Mild Dementia
Someone living with our definition of "mild dementia" might experience some or all of the following:
- Memory problems such as misplacing items and not be able to recall recent events (however, in some forms of dementia a person's memory may be unchanged)
- Difficulties thinking through problems and planning, making decisions
- Language and communication issues such as finding it difficult to recall the appropriate word in a conversation or following a conversation
- Poor orientation, getting lost in areas previously familiar to them
- Difficulty judging distances (more falls than usual)
- Changes in their normal mood including anxiety and depression
- In certain types of dementia, personality and behaviour changes may be present alongside or instead of issues with memory or concentration.
Moderate Dementia
Someone living with our definition of "moderate dementia" might experience some or all of the following:
- Worsened memory problems. Not always recognising own family members and friends. Repeating the same questions over and over again
- Worsened language and communication issues, forgetting what they are saying mid-sentence. Not being able to understand what someone else is saying
- More frequent confusion, e.g. about the time of day or where they are, including their own home
- Apathy, depression and anxiety
- Believing things that aren't true (paranoia)
- Frequent hallucinations
- Lack of emotional control, quick to anger, fearfulness, sadness
- Loss of inhibition
- Difficulties sleeping or waking during the night and behaving as though it is daytime - loss of circadian rhythm.
Advanced Dementia
Someone living with our definition of "severe dementia" might experience some or all of the following:
- Severe memory problems. Not recognising family members and friends. Not being able to recall their own name
- Severe language and communication issues, not being able to understand what someone else is saying
- Severe confusion, e.g. about the time of day or where they are, including their own home
- Apathy, depression and anxiety
- Believing things that aren't true (paranoia)
- Frequent hallucinations
- Lack of emotional control, quick to anger, fearfulness, sadness
- Loss of inhibition
- Difficulties sleeping or waking during the night and behaving as though it is daytime - loss of circadian rhythm.
Verbally or physically aggressive behaviour
If your loved one displays this type of behaviour you may need a care home that has specially trained staff. Verbal/physical aggression is often defined:
- Consistent shouting and screaming
- Verbal abuse
- Physical abuse
How we define Dementia Care Types
- Mild Dementia
- Moderate Dementia
Other Care Provided
- Parkinson's Disease
- Stroke
- Palliative / End of Life Care
- Convalescent Care
Facilities
- Own Furniture if required
- Smoking not permitted
- Close to Local shops
- Near Public Transport
- Lift
- Wheelchair Access
- Gardens
- Bar/Café
- Phone Point in own room
- Television point in own room
Funding & Fees
Weekly Charges per Person
We accept those who are paying for their own care (self-funders), those who are being supported by the Local Authority, and those in receipt of Continuing Healthcare (CHC) funding.
• Around the clock care from highly-trained staff
• Personal care - such as bathing, dressing, grooming
• Daily living assistance, tailored to individual needs
• Food, drink and snacks
• Heating and lighting
• Specialist equipment
• Personal laundry
• All of our in-house activities
• Spiritual and pastoral support
• Basic residential care: this is where the assessed needs are relatively uncomplicated and where mechanical or technical assistance is rarely needed.
• Higher dependency: this is where the assessed needs are complex and where mechanical or technical assistance is intermittently needed.
• Enhanced care: this is where assessed needs are highly complex and where mechanical or technical assistance is frequently needed. We charge for dementia care at this rate.
The Registered Care Manager will assess you prior to admission to determine the level of care provision required. These fees are valid between 1st April 2026 and 31st March 2027 and are reviewed annually. Our fees are charged per person, per week. We do not require a deposit and we do not require a guarantor.
The price(s) shown are provided by the care home. Contact Middlefields House for full pricing details and T&Cs.
Contact Middlefields House to confirm what's included and get a personalised quote:
Funding Types Accepted
- Self-Funding (Private)
- Local Authority with Top-up
- Local Authority
- NHS Continuing Healthcare (CHC)
Good to Know
Group / Owner
- Pilgrims' Friend Society
- Voluntary / Not for Profit Owned
Person in charge
- Ralista Ivanova(Registered Care Manager)
Local Authority / Social Services
Admission Information
- Mixed (no single-gender units)
- Ages 65+
- Residents must be supportive of our Christian ethos and activities
Care Home Design/Build
- Purpose Built: Yes
- Year Purpose Built: 2021
- Last Refurbishment: 2021
- Number of floors: 2
Room Information
- Single Rooms (48)
- Single Rooms with ensuite Wet Room (48)
Visiting
- Relatives and friends welcome to visit at any time during the day.
Parking
- Ample parking for visitors at the home.
Middlefields House Reviews (46)
Middlefields House has a Review Score of 9.9 (9.909) out of 10, based on 21 reviews in the last 2 years.
Over all time Middlefields House has 46 reviews.
When the time came for my mum to move into Middlesfields Care Home, it was naturally a very difficult decision for our family. However, from the very beginning, the team made us feel welcome, supported, and reassured.
The facilities are clean, comfortable, and well maintained, providing a safe and pleasant environment for the residents. Communication with the home has been good throughout. The staff are always approachable, happy to answer any questions, and keep us informed about how Mum is doing, which gives our family real peace of mind.
What truly makes Middlesfields stand out is the exceptional care provided by the staff. It is clear that caring for the residents is far more than just a job-it is a genuine passion. They treat Mum with kindness, dignity, patience, and compassion every day, taking the time to know her as an individual and making her feel valued and respected.
Knowing that Mum is surrounded by people who genuinely care about her wellbeing gives me enormous comfort
Thank you for taking the time to write your review and for the honest and heartfelt thoughts on Middlefields. Making the decision to move a parent into care is one of the most difficult decisions family have to make and it is a privilege and pleasure to have Mum move in with us. All our staff are...
It is a home where care for residents is given generously and with love. My husband is listened to and his care adjusted to suit his particular needs. I always feel welcome when I visit and there is definitely a feeling of belonging to a family. I am delighted that my husband has found a home which meets his needs - I don't thinkwe could have found a better home.
Thank you for taking the time to review the care given to your husband and how wonderful to know he is feeling at home with us here at Middlefields and that you are also assured he is getting the very best care. The whole team work hard to ensure that real sense of community for all who live with us and for relatives to also feel they belong.
Cleanliness was excellent and the building facilities are fantastic being newly purpose-built, with wonderful shared activity spaces for activities including church services.
We liked the layout of the four households, each with its own lounge/dining area, with a homely arrangement of furniture, rather than a care home feel.
Care itself was of a very good standard, we were never once concerned that it was lacking, and when our aunt became immobile, extra provision of special chair and mattress etc was provided, and we always felt the care team were approachable. In her last weeks, both care and pastoral support were excellent. It was everything we wished for.
Thank you so much for taking the time to give such detailed and encouraging feedback. We have the most fantastic teams who all give their very best to ensure all our family members are loved and well cared for - along with providing and maintaining a beautiful home to live in. There is always so...
Mum spent 3 happy years at Middlefields, the care is amazing. Mum felt loved and respected by everyone in all areas whether admin, care or housekeeping staff. During her last days the care team ensured mum was comfortable, getting medics in very quickly when needed for pain relief etc. As a family we were cared for as well, receiving so much comfort, especially when we went in to clear mum's room. Thank you all!
Thank you so much for taking the time to give such an encouraging review of Mum's care with us over the past 3 years. Everyone at Middlefields House loved your Mum very much, and it was an absolute honour and privilege to be able to care for her right up until she stepped into glory. She will be...
Mum went in for a couple of weeks respite care and was in good, caring hands during her stay. Everyone at Middlefields was so welcoming and made Mum feel included from the minute she got there. Mum really enjoyed her stay and I knew she was totally safe and looked after. I would fully recommend Middlefields. Thank you for looking after Mum.
Thank you so much for your kind review. We always enjoy having family members stay with us on respite care, and it was wonderful having your Mum with us at Middlefields House. The whole team work hard to ensure that everyone living with us, for however long, feels welcomed, loved and cared for. We...
Without hesitation this would be the care home for me.
Thank you for taking the time to give such a thoughtful and honest review, following the sad loss of your Mum. It was an absolute privilege to be able to support Mum through her last days and for you to be assured that she was safe, at peace and comfortable is also of paramount importance to the...
To know that our mother - who suffers from Alzheimer - is now safe and so well cared for at Middlefields is such a relief to our father, my sister, our families and me.
My last visit at home was so traumatic - my mother would not allow me to do anything to really help her, as she did not recognise me.
Visiting her at Middlefields was such a contrast - I could leave the everyday tasks to the delightful staff and could enjoy quality time with my mother in the lovely gardens, just listening to her or stroking her hair while she soaked up the sun.
This was such a gift to me - real memories to be cherished forever!
Thank-you so much!!
Thank you for taking the time to write such a heartfelt review. It was a privilege and honour to be able to support you as a family in making one of the toughest decisions that needs to be made regarding moving a loved one into permanent care. We are so pleased that it was the right decision for...
Facilities and care quality very good, residential living area is very spacious and comfortable with perfect outdoor space, clean and tidy well looked after.
All services provided & care is excellent..
I would live here myself if I had too I would choose Middlefield in Chippenham..
Thank you for taking the time to send such an encouraging and detailed review of Middlefields House. The whole team work consistently hard to ensure our home is just as you found it. We are blessed with a beautiful building and wonderful grounds and with the sunnier days are very popular as a...
Every time I go to Middlefields to visit Grandad, all the staff are incredibly friendly and the care and connection for residents is clear from the moment you walk in. It was lovely to glimpse the Christmas party and see the music and dancing with everyone.
Thank you so much for taking the time to write a review. It is wonderful that you are able to visit your Grandad and that you feel the care, connection and love we have for all our family members. We love providing meaningful, encouraging and enjoyable activities for the whole community here at...
All the team are amazing, friendly, caring and just so loving.
The place is peaceful, clean and spacious.
Thank you so much for taking the time to give such an encouraging review for the whole team at Middlefield House. It has been the greatest privilege and joy to care for your Mum and wonderful to know that you can have peace in knowing that all her needs were met with great love, care and dignity.
We found all the staff from the management, carers, canteen, cleaners, reception, and everyone we met to be extremely helpful, caring, kind and compassionate to both us and my sister at all times. Nothing was too much trouble. The birthday cake provided, cards and presents, special balloons and decorations for her meant a lot to her and were appreciated by her and us all. It made her feel special. We also appreciated having a room on our own to be able to eat lunch all together on both days.
My sister and I stayed in the guest room provided for one night which was warm, comfortable, satisfactory, adequate, and sufficient for both our needs. We hope to visit again but the distance of 200 miles and our health issues make it difficult.
Thank you for providing such a lovely place with delightful staff for our sister to call home during the last years of her life.
Thank you so much for taking the time to write such a kind and encouraging review. It is always a pleasure to welcome family and friends and join in with our family members here at Middlefield House on special occasions. The whole team work hard to ensure precious memories are made and everyone...
My youngest brother and his wife kindly escorted my second sister and myself to visit the sister currently living in Middlefields House on her birthday. Our general experience was very good. All the staff were very kind, obliging, thoughtful and caring. All my sister's basic physical needs were met and she seemed relaxed and content (although there's nowhere like home). She was, however, rather lonely and we felt would benefit from some physiotherapy to enable her to be a little more independent and mobile. This is, I realise, difficult to achieve for all residents. She responded so well to our taking her out for coffee in a nearby coffee shop on Thursday morning before we headed back to Suffolk.
Thank you so much for taking the time to review Middlefields and how lovely you were able to join your sister who is living with us on her birthday. All our family members enjoy their visits and it is such a blessing when they are still able to be taken out with their relatives. It is an absolute...
The activities are incredibly imaginative - they're never afraid to try something new and get everyone involved, not just with family and friends, but in the wider community as well.
Thank you so much for taking the time to write such a thorough and encouraging review. The whole team here at Middlefield House work together with our family members' very best interests and care at heart. It is wonderful to know that this is evident from the moment you step in to visit Mum to the...
Couldn't ask for a better care home. Fantastic staff who truly care about their residents as people. Great care both in general, physically, occupationally and spiritually. I can't thank them enough.
Thank you for taking the time to give your review for Middlefields House. We have a great team who genuinely care about every aspect of life for all our family members, and recognise the value of a holistic, person-centred approach. We place a great emphasis on the way in which we care, and focus on providing fulfilled living for all.
My aunt moved to Middlefields this year. The home is wonderful, the staff are too and she has settled in really quickly. We are delighted with the care she is getting. Middlefields is excellent, we can't believe she has ended up in such a lovely place.
Thank you so much for your kind review and for taking the time to complete on behalf of your aunt. It is an absolute joy to have her living with us here are Middlefields House and wonderful to see her settling in, it is such a huge decision and does take time. She has already made some lovely...
My wife has only been in the home for 6 weeks, and seems very happy there, although often wanting to come home, failing to understand the necessity of her residing there. The staff are amazingly understanding of this, and help to overcome those moments. The rooms are so pleasantly large and light, with view of the garden. The whole atmosphere of the home is very pleasant, and I'm so thankful to God for this lovely provision.
Thank you for taking the time to write this encouraging review. It is wonderful to know that your wife is settling and for the family to recognise and be confident that in those times when she wants to come home, she is well loved and cared for. We are thankful for the wonderful facilities we have...
Our experience at Middlefields House has been excellent. My father is well cared for by friendly, caring and professional staff. In fact, all staff at Middlefields have always behaved in an exemplary manner. Dad is really happy at Middlefields. He regards it as home. He loves the activities and has made real friends with the other residents. I know that he really appreciates the help and support that he received after my mother passed away earlier in the year.
Thank you for your encouraging review. It has been an absolute privilege to support your father, especially during and since your mother's passing. He has become such a valued member of the household and is loved by all. It is wonderful to see and know how involved he has become in our activities...
The care at Middlefields is outstanding in every way. The design of the home is superb and supports caring, small households where individual needs are paramount. The Christian ethos surrounds the environment and the public coffee shop is a hub of friendly activity. All care homes should be based on this model. I am so relieved my mum is being taken care of at Middlefield.
Thank you for your review - we also believe the small household model meets so many of our family members needs, on so many levels and are thrilled that together with our Christian values running throughout every provision, you feel confident and fully assured that your Mum is receiving the very best care she deserves.
All good.
Thank you for taking the time to submit your review of Middlefields House.
The home is fitted out to a very high standard. The staff are unfailingly welcoming and caring. My mother's well-being has improved since she has been living at Middlefields. She enjoys all the activities, especially the singing.
Thank you so much for your kind review - we are thrilled to know how much your mother's well-being has improved since she joined our wonderful community at Middlefields House. It is always so encouraging when relatives see the difference our care makes.
Regulatory Rating
Care Quality Commission (CQC) Rating
Date: 16 December 2022Good
- CaringGood
- EffectiveGood
- ResponsiveGood
- SafeGood
- Well-ledGood
Inspection ratings
We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:
- Outstanding - The service is performing exceptionally well.
- Good - The service is performing well and meeting our expectations.
- Requires Improvement - The service isn't performing as well as it should and we have told the service how it must improve.
- Inadequate - The service is performing badly and we've taken action against the person or organisation that runs it.
- Not rated - we have not yet rated this area of the service, this is normally because the assessments we have carried out have been focused on other key questions.
Bed Vacancies
Please contact us for latest vacancies.
News (1) & Events (0)
- 12 Sep 2025
"How an intergenerational playgroup at Middlefields House in Chippenham is nurturing relationships between young and old and becoming a web of connection for the local community" On the upper level...
There are no upcoming events for Middlefields House.
Awards / Recognitions (0)
There are currently no awards/recognitions posted yet for Middlefields House.
Accreditations
There are no accreditations posted yet for Middlefields House.
Meet the Team (2)

Rali was born in a small town in Bulgaria near the Black Sea. After school, she qualified as a dental technician and then undertook further study to become a nurse.
Rali came to the UK in 2002 and took on the position of a care assistant in Devizes. In 2009 she joined the Pilgrims’ Friend Society at Leonora Home (now closed) as a care team leader. In 2019 she completed a diploma in Health & Social Care. When Middlefields House opened in August 2021 she was promoted to Deputy Manager and then to Registered Care Manager.
Rali has two children, a daughter and a son. She became a Christian as a teenager in Bulgaria and helped with Sunday School with her husband (at that time only a friend), organising activities and teaching the Bible to children who were living in poorer communities.

Sarah's experiences within the education and financial sectors, in positions such as business manager, project manager, operational administrator, and training and competency manager, have given her a deep understanding of valuing and investing in people but guided by godly principles. Having devoted the past seven years to caring for her parents before their recent passing due to dementia, she views it as an honour to utilise her skills to support and develop the team while contributing to the growth of the business at Middlefield.
She is a wife and a mother of two adult children.
Frequently Asked Questions about Middlefields House
What types of Care is Middlefields House registered for?
Older Person Care, Dementia are the registered (by the Care Quality Commission) categories of Care.
How many Rooms does Middlefields House have?
There are 48 Single Rooms.
What are the Facilities & Services at Middlefields House?
Own Furniture if required, Smoking not permitted, Close to Local shops, Near Public Transport, Lift, Wheelchair Access, Gardens, Bar/Café, Phone Point in own room, Television point in own room are some of the Facilities & Services.
How far is Middlefields House to the centre of Chippenham?
1.1 mile(s) as the crow flies, distance by road may be significantly further.
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