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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.
My wife has been a resident at Middlefields House since the middle of January 2022. My wife has been living with dementia for the past 2 years and more. The facilities and staff at Middlefields House are exceptional. The idea of 4 separate households, with a maximum of 12 residents in each household is an excellent design concept and provides for a homely and cosy environment. The friendly and caring staff further enhance this homely feeling. I visit my wife every afternoon and am always made to feel welcome by the reception team, Management, carers and all members of staff alike. Overall, a wonderful experience for both myself and my wife. Many thanks to one and all.
Thank you for taking the time to post this lovely review. We are delighted that your wife has settled-in so well to life at Middlefields and that you also feel to be part of our family.
Our Mum has been in Leonora Home for nearly two years and is settled, and well looked after. The staff are very caring and attentive, and we could not wish for better care for her, especially during the last months of COVID-19 where they have worked hard to keep the residents well and occupied in spite of the lock-down.
Thank you for your very kind words. We agree, our staff have gone above and beyond over the last few months to keep our family safe and happy.
Mum has always said that if she needed care she wanted to go to a Pilgrim Homes care home so that she can have the company of like-minded Christians. She seems to have settled in well there. Hopefully when the situation eases we can visit inside and meet her friends and fellow residents.
The staff are always very attentive to her needs and give us a quick call to keep us updated on any news or check with us if there are any decisions to be made. We really feel that we can trust the team who look after her and feel she is in good hands.
I do remember when we first visited all the residents told us how good the food was! Although as we haven’t yet been able to visit inside we haven’t had a chance to check it out yet!
Thank you for your kind words. We're so looking forward to being able to welcome visitors again!
My mother has been in one of the flats at Leonora Home for nearly 15 years and has been very happy there. Over those years she has been encouraged to be involved as much as possible in the life of the home. As her health has deteriorated the staff of the home have done many things to help her in her changing situation and have often gone beyond the call of duty. She has experienced loving care in so many ways in the home.
There is an overall friendly and caring community and the staff work well with the limited accommodation at Leonora Home. The Christian ethic is vital for the atmosphere of the home as this is what the residents are used to and it is particularly valuable for those with dementia.
Thank you for your kind comments. We are looking forward to fabulous facilities at the new home, due to open in April of 2021.
Care is provided in a respectful and dignified way, and I feel totally happy mum is being looked after 24 hours a day.
Thank you for your very kind comments, it's lovely to hear you are so happy with your mother's care.
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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