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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.
On our most recent visit we took advantage of the guest room in the home, which proved to be a great choice. Having the cafe to provide our midday meal was a massive bonus, too.
The level of care Mum has received has been second to none, and I have had experience of many residential homes over the years in various parts of the country.
I can wholeheartedly recommend Middlefields to prospective residents.
Thank you so much for taking the time to write such a detailed and encouraging review. It is an absolute pleasure to care for your mother and to hear how valued and integral the community she has become a part here at Middlefields is for her. Our carers are second to none and we are thankful for the team and leadership that do such a fantastic job.
My nan lived in this care home and she loved it, a lot of the staff were awesome to her, she loved the activities there and many of the carers. The atmosphere was so calming. The staff loved her and were by our side when she was taking her last few breaths. This care home is really calming.
Thank you for taking the time to give this review and for describing Middlefields as a calming home. It was a joy to care for your Nan and a privilege to be with her as she took her last breaths. We have a wonderful community here, and there is always plenty going on. We hope that all our family members enjoy a fulfilled and contented life, as your Nan did.
Middlefield House has truly become my mum's new home. The staff are friendly, caring and very professional and overall make the family feel very welcome and keep us updated on Mum's care and needs. From the time you walk through the door in reception, to the coffee shop staff and everyone you meet, you are made to feel very welcome and the whole place has a lovely feel to it. It is truly a lovely, caring home for my mum.
Thank you for your kind review Teresa. It is an absolute pleasure to have your Mum join our community and become such a valued family member at Middlefields House. It is wonderful to know she feels so at home with us and that you also feel so welcome and cared for as her daughter. It is such a...
Mum has settled into home, which is pleasing considering the circumstances which led to her being there. Home dealt well with an issue I raised. The facilities are good, and the staff are friendly and helpful.
Thank you for taking the time to submit this review. I'm very pleased that your Mum has settled in so well.
The difference in my wonderful mum is so marked she really is her old self again.
The facilities are wonderful, it's like walking into a hotel not a care home. Everywhere is spotlessly clean, light and airy.
Mum's room is light and spacious and has everything she needs.
The gardens are lovely too.
However, what sets it apart is the care my mum is given. She is so happy. The staff are all wonderful and that's from the moment you walk through the door.
Mum keeps asking if she is staying there and when I say yes she really is delighted. She seems to have a sense of purpose again. She loves to look after everyone.
She is woken in the morning by staff that can't do enough for her and it's the same throughout the day.
I really can't recommend it enough. It was a tough decision moving mum to a home for my sister and I, but seeing how happy she is I wish we had done sooner.
Thank you all.
Thank you for these lovely comments. I will share them with the whole staff team here for their encouragement. It is a joy to see how well your Mum has settled-in to the home and, as you say, how she seeks to care for others as well.
I waited a few weeks after being given this form so that I would have been here for a full year. The staff are different to describe but are amazingly dedicated to their caring role. The few trivial problems are the result of the challenge of communicating any changes to staff which is 'fluid' and open to alterations inevitable in a complex organisation. No task seems too much trouble for them. If a question needing an answer is asked, one can rely on the fact that it will be 'sorted' and a reasonable explanation is given. My family are so very grateful to our 'new home' staff, especially so as I was recently bereaved.
My Mum settled into Middlefields with ease and more quickly than expected thanks to the amazing care team in Household 1. The care is more person-centred and joined-up than she has experienced anywhere else - including a Bupa care home. She loves the Christian atmosphere, going to the service on Sunday, singing in the choir, and enjoys other activities. As a family, we are so relieved that our Mum is in safe hands where she can live out her remaining years in comfort with fabulous holistic care. Thank you so much everyone!
What a delight to read this lovely review. We love to have your Mum with us and it's great to see that she has settled in so well. Thank you for your encouragement.
The opportunities presented to all residents to get involved with a full and varied programme of activities is astounding. The mix of professional support, volunteers, residents and families leads to a true family atmosphere in Middlefields House.
All staff demonstrate a caring, compassionate nature towards all the residents. I am in total awe of their professionalism and caring nature at all times.
The peace of mind provided by Dad's stay in Middlefields gives my brothers and I complete confidence that he is in safe hands in his later years.
I would highly recommend Middlefields to anyone considering a care home for an aged relative. I am sure that you won't be disappointed.
Thank you for taking the time to submit this lovely review. I think you know how much we enjoy having your dad with us. He brings so much warmth and life into the home. I'll make sure the whole team is made aware of your feedback.
She came straight to Middlefields from hospital and has received excellent care from the whole household team she lives with. All the staff really seem to know my mum and make sure they spend quality time with her as well as taking care of all her physical needs.
As well as the household staff, all the staff at reception are friendly and approachable. Nothing is too much trouble.
I feel very lucky that Mum is being cared for in such a warm, friendly, caring environment.
Thank you for this lovely review. It's a great encouragement to us in our work in the home and I'll pass it on to everyone involved in caring for your mum.
My mum is very happy in Middlefields care. Staff have taken time to get to know her and to understand both her physical needs but also her personality. She is encouraged and supported to take part in the activities arranged for residents. Middlefields provides a lovely environment for Mum to be looked after. It's clean and bright, and the furnishings are comfortable and well-maintained. Her room is homely, and the ensuite wet room is really beneficial for them. Above all, the staff at Middlefields care about the residents and want the best for them.
I'm grateful for you submitting this review. I know the staff members who care for your mum are very fond of her, and we all love to have her with us in the home.
The staff are not only highly professional but also incredibly caring and gentle with all the residents. They go above and beyond to ensure that each individual feels safe, comfortable and valued. The level of attentiveness and kindness displayed by the staff is wonderful.
The amenities and activities provided are exceptional. From exercise programs to social events, residents are offered a range of engaging and stimulating activities. The commitment to promoting mental and physical well-being is truly commendable.
Knowing that Mum is being looked after by such a professional, caring team gives me peace of mind. I am grateful for the outstanding care provided by Middlefields House and I wholeheartedly recommend it to anyone seeking a loving and supportive environment for their loved ones.
Thank you for this lovely review. Feedback such as this means a great deal to us and I'll share it with the various teams for their encouragement. It is a pleasure to have your mum with us. Thank you again.
Very caring, homely feel. Every member of staff is so kind, caring and helpful to dad and all the family. The home has a unique layout of four houses of twelve residents so it doesn't feel institutional or like a hospital. We can't thank or recommend the team at Middlefield House enough.
Thank you for this lovely review. It has been great to see your Dad settle in so quickly with us. We also appreciate all your support and encouragement.
The Manager and care staff are all nice and friendly and the care is exceptional.
Thank you for this lovely review. It's a great encouragement to us in our work and I will pass on your comments to the teams involved. We love to have your father with us and it has been a pleasure to get to know you and the others in the family.
My grandmother has been with you just a few months and considering her difficulties, has settled in very well. She is very well looked after, all the staff are friendly and take time with her and her family. Communication between the staff and with our family is fantastic.
Thank you for this lovely review. It has been a real joy to see how your grandmother has settled in with us, and also to get to know her family.
A pleasant, welcoming and happy place to visit - but showing signs of staff shortages when care issues are examined.
Thank you for taking the time to submit a review. It means a great deal to us to know that you feel welcomed when you come to our happy home. We are thankful for the high ratio of care staff to residents that means our household care teams are able to meet the needs of residents effectively. We always welcome the opportunity to discuss any concerns so we can respond quickly and appropriately.
The COVID restrictions were stressful for me as a visiting relative, but now I am allowed to join in which is a great improvement.
He particularly enjoys the Men’s Discussion Group, and the company of the other men. Christmas and jubilee celebrations were excellent. Thank you all.
Thank you for this lovely review. I hope you know how much we value having your husband with us, and you are also very much part of the family here. I'll pass your comments on to everyone involved.
My father particularly appreciates the Christian support and input.
Overall it is a wonderful, welcoming and friendly care home.
Thank you for submitting this lovely review. It has been a joy to get to know your father over these last few months. He continues to bring great warmth to the home and is a real encouragement to other residents and the staff team.
The rooms are bright and clean with good bathroom facilities. She says the food is good too. A beautiful home! Security is very good.
Thank you for taking the time to submit this review. It is a pleasure to care for your mother and we appreciate your feedback and on-going support.
My mum has fairly advanced Alzheimer's and had to move into Middlefields in February 2022 when my dad was no longer able to care for her, supported by my brother and I who live at a distance. The change was very hard for Mum and ultimately led to a very stressful few months juggling COVID-related issues, health changes, distressing pacing, aggression and more. The staff were wonderful, very patient, seeking advice and making adjustments to Mum's care when things didn't work. We have seen genuine love from the staff to my mum and we are convinced Mum is in safe hands. I heartily recommend Middlesfields, particularly for Christian residents.
Thank you for this lovely review. We love to care for your mother, and also see you and your dad as very much part of the Middlefields family. I will pass on your kind comments to everyone involved and know that they will be greatly encouraged by them.
It's obviously been a very challenging time for care homes and residents during the pandemic. I have been pleased with the care attention my father has received during this time. I am very grateful to all the staff and all what they do for the residents especially as family visits have been so restricted.
Thank you for taking the time to submit this review. Your comments are greatly appreciated. We look forward to times when family and friends can visit without restrictions in place.
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.
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