






Astley House is part of the award winning Pepperwood Care Group, situated in the charming seaside town of North Berwick. The home was once a private residence, and has been extended and converted to provide exceptional care services, making each person's experience personalised and unique in a home from home atmosphere.
This welcoming care home offers various types of care, including residential, dementia, and respite care, providing a nurturing environment for...
Care Provided by Astley House
Primary Care Categories
- Older Person Care
- Dementia
Length of Stay
- Permanent Care
- Respite Care
Care Types Provided
- Residential Care
- Nursing Care
- Dementia Residential Care
- Dementia Nursing Care
- For a maximum of 40 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
- Pet Friendly (or by arrangement)
- Smoking not permitted
- Close to Local shops
- Near Public Transport
- Minibus or other transport
- Lift
- Stairlift
- Gardens
- Bar/Café
- Phone Point in own room
- Television point in own room
- Residents Internet Access
Funding & Fees
Weekly Charges per Person
Fees are dependant on size and location of room.
The price(s) shown are provided by the care home. Contact Astley House for full pricing details and T&Cs.
Contact Astley House to confirm what's included and get a personalised quote:
Funding Types Accepted
- Self-Funding (Private)
- Local Authority with Top-up
- Local Authority
Support you may be entitled to
- If you choose a care home based in Scotland, you may be eligible for the Scottish Government's Free Personal Care funding of up to £260.30 per week (if you are over the age of 65) and Free Nursing Care funding of up to £117.10 per week. This support is not reflected in this fee amount.
Good to Know
Group / Owner
- Pepperwood Care (Management) Ltd
- Private Owned
Person in charge
- Kirsty Steele (Manager)
Local Authority / Social Services
Admission Information
- Ages 65+
Care Home Design/Build
- Purpose Built: No
- Last Refurbishment: 2024
- Number of floors: 3
Room Information
- Single Rooms (35)
- Couples/Companion Rooms (2)
Visiting
- Visitors welcome in the home at any time of day, however, but visitors are reminded to be mindful of the routine within the home
Parking
- Free car park to the front of the home, with additional parking available along Dirleton Avenue
Astley House Reviews (20)
Astley House has a Review Score of 9.8 (9.772) out of 10, based on 18 reviews in the last 2 years.
Over all time Astley House has 20 reviews.
My father was a resident of Astley House for 2 years and 4 months. He died in March, 2026 at the age of 95. He was very well cared for during his time there, and this was very evident when his health was failing. The staff were all kind, caring and went to great lengths to make sure my Dad was comfortable and as pain free as possible. The family were always made welcome. We received practical and emotional support from Kirsty , Soniya and their team. Dad made strong connections with a number of staff and we will always have fond memories of Astley House.
Thank you for your support for the home and the team. Your father is dearly missed by all, but we will be sure to share your kind words with the rest of the team.
Astley House have been excellent, admitting my 57 year old brother, who has a very aggressive form of dementia, at short notice between Xmas and New Year 2025. Four months on, I could not be happier with the level of service. They have prioritised resources to provide my brother with a supervised daily walk in the local area, which has been excellent for his physical and mental wellbeing. Because of his condition, he struggles with communication, and isn't very involved with the other residents, but the staff have really taken to him and have made him feel very welcome. This has helped greatly to stabilise his condition, which gives me peace of mind after a very difficult period prior to his admission.
Thank you for your lovely review. It is a privilege to care for your brother. We will share your wonderful comments with the team.
I have been consistently impressed by the care my mum receives in Astley House. The staff are patient, compassionate, and highly perceptive of her dementia-related changes, as well as attentive to her physical needs, including personal hygiene.
They respond quickly to any call for help, and every phone interaction has been polite and reassuring. It is clear that professional nursing standards are upheld throughout the home. She has a delightful room with a large ensuite.
My assessment comes from decades of professional nursing experience in ICU, Renal Units, and from many nursing homes, through agency work. I've seen the full spectrum of care environments, and this home stands out for all the right reasons.
To any prospective relative, I can confidently assure you that the care given here is exceptional - the kind of consistent, dignified, person-centred care that, unfortunately, is not found in every nursing home. I know that my mum is in safe & professional hands.
We cannot thank you enough for your lovely review and comments. Thank you for your support. It is a privilege to look after your mum. We will share this lovely review with the team.
The staff work incredibly hard but always have a smile. Dad enjoys the food and there is always hot and cold drinks available along with a biscuit. Since being at Astley, Dad has had an eye test, haircuts and his toenails down by a podiatrist.
The care home keep you in touch with any news relating to your relative le vaccinations, change to medicine etc.
This is a very welcoming home - staff have just been wonderful at helping to support my mum with her daily needs - they know her well. The management ant the home are wonderful and have created such a warm and caring ethos. They have also been a great support to me and I have peace of mind knowing my mum is well looked after there, when I have to be at work. It is like being part of a big family. Thank you for all your hard work.
Thank you for your positive comments and lovely review. We will share it with the team. It is a privilege to look after your mum.
My Mum has been in Astley House for 5 years and is well known to the staff who are always helpful and caring. I am always informed if there are any health issues or if she has had a fall. She is now eating well and enjoying the food. Her room is always clean and tidy as is the ensuite shower room. She has a lovely view of the garden and her room is bright and sunny. There are plenty of activities going on with musical entertainers visiting the home on a regular basis. I enjoy the newsletter from the home which keeps me up to date with all that is going on. My Mum enjoys her cups of tea and the cakes especially. Birthday cakes are made by the chef whenever it's someone's birthday which is a nice thought.
Thank you for your lovely review and positive comments. We will be sure to share these with the team. Thank you for your support for the home.
My dad has been a resident in Astley House for four years. I am very happy with the care and attention he receives from all the friendly and attentive staff. The staff all have demanding jobs, caring and supporting the residents, many who have dementia, not a condition that is easy to deal with. My dad is settled and safe in his surroundings. That gives me peace of mind that he is well looked after, especially when I am abroad on holiday or when I am recovering after an operation. I appreciate the social media posts and contact from staff that keep me up to date in between visits.
Thank you for your lovely review. It is a privilege to look after your dad. We will share your positive comments with the team.
Astley House is great. My dad moved in after a spell in hospital and the staff have been wonderful and caring. It's the people that make Astley House and they really do care. My dad loves the food and the lovely views of the golf course and beach. He is treated with dignity and respect and the management are always on top of any issues.
Thank you for your positive review. It is a privilege to look after your dad. We will share your wonderful comments with the team.
Astley House is a happy home, staff & management are all so friendly and supportive as well as caring and respectful to my parents.
Thank you for your lovely review and positive words. We are grateful for your support and will share your wonderful comments with the team.
Astley House has a very welcoming and relaxing atmosphere. The management & staff work as a very efficient team to provide a high standard of care for residents and are friendly, helpful & approachable they are also very supportive of family/friends. It is reassuring to know that the care given to my husband is of the highest quality and that he is treated with compassion and dignity.
Thank you for such a lovely review. We are privileged to be able to care for your husband and we will ensure that we share your comments with the staff team.
My father has been at Astley House for nearly a year. I live in America so it is vital for me that his care is good. The staff feel like family -- we keep in close video contact and I am beyond thankful their kindness and understanding. The attention they give to my father's physical and emotional needs is fine-tuned, carefully considered at every turn. I could not recommend it more highly.
What truly sets Astley apart is the personal touch-staff take the time to get to know each resident, ensuring their individual preferences and needs are met. Families are kept well-informed, and there is always an open line of communication, which provides great peace of mind.
If you are looking for a care home that prioritises both excellence and compassion, Astley is an exceptional choice. It is clear that residents here are not just looked after-they are genuinely cared for .
On behalf of our entire team, thank you so much for your wonderful review and it is incredibly rewarding to know our team effort made a positive impact. Please know that your feedback inspires us to continue providing the highest standard of care and support.
I am extremely happy with the care my husband is receiving in Astley House. The staff are all very friendly and cheerful despite having a very demanding job caring for residents, many with dementia like my husband. They always treat him with respect and speak directly to him in a calm and supportive manner, helping when require but also encouraging him to be as independent as possible. They are always well informed about how he has slept, eaten or his level of activity (walking). Both staff and management have been very supportive to me and family members when visiting. The home is always very clean, no unpleasant smells, residents are encouraged to be as active as suitable, going out into the garden in good weather. A variety of good food is provided with choices. I have complete confidence that my husband is receiving the best care in Astley House.
Thank you for your lovely review. We will be sure to share this with the staff team, who will be so pleased. Thank you for choosing Astley House for your husband.
Amazingly managed. The managers & staff have my parents-in-law's best interests as their focus at all times. Home baking, snacks, coffee, tea and juice on the go all the time. Friendly, chatty staff. Great activities, also constantly on the go. The wider family all enjoy the social media posts and being able to keep up to date.
Thank you very much for such a lovely review.I will be delighted to let our super team know that they are so appreciated.
Mum has been a resident for the past 12 months I find the managers and staff really approachable and friendly Mum's care has been very good there is a lovely atmosphere in the home it is always clean and tidy we feel we made the right decision for mum placing her at Astley House she has come on a lot with the care of the staff and she is settled and safe, managers are always happy to help and advise if needed and the lady is so helpful with the financial side
Thank you for the wonderful review.We are delighted you feel happy with your decision to have your mum cared for at Astley House.The staff team will really appreciate the lovely feedback.
Excellent care. Individual attention to residents needs. Great atmosphere. Attentive and kind at all times to residents and relatives. Very understanding of challenging family circumstances.
Thank you for such a super review. We take great pride in getting to know our residents and supporting families during the initial admission process.The wider staff team will be proud to learn that their hard work is recognised and appreciated.
Excellent! Staff are fabulous and of great comfort to us as the family. We can now plan holidays & trips without worrying about mums care & well being.
Thank you for taking the time to leave a review. We are delighted that you are confident in our abilities to care for your mum. We will share your feedback with the team.
Very happy with care at Astley House. Staff are warm, caring and very in-tune with Residents needs. The environment is very home-like. Communication is very good and we are informed of any staff concerns and observations. Mum is happy and loves the care-givers.
Thank you for taking the time to write such a positive review ,our staff team will be delighted to learn that their dedication and hard work is acknowledged and appreciated. Best wishes.
They could not have done any more to make my relative comfortable, he was so well looked after. Thank you.
Beware this company includes interest monthly after your loved one passes away. If you have a solicitor it can take up to 6-9 months or longer to complete their estate. My experience was terrible from the start, bullying from day one and the level of care was not satisfactory.
It is always sad when a resident passes away, and is upsetting for anyone who has a connection with them (including the staff at the home). Unfortunately, when a loved one passes, there is nothing that we can do about the length of time it takes to settle an estate, and that is why we have a...
Regulatory Rating
Care Inspectorate (CI) Rating
Date: 22 May 2026- How well do we support people's wellbeing?Very Good
(5)
- How good is our leadership?Very Good
(5)
- How good is our staff team?Very Good
(5)
- How good is our setting?Good
(4)
- How well is care and support planned?Good
(4)
Bed Vacancies
Please contact us for latest vacancies.
News (0) & Events (0)
There are no news items for Astley House.
There are no upcoming events for Astley House.
Awards / Recognitions (0)
There are currently no awards/recognitions posted yet for Astley House.
Accreditations
There are no accreditations posted yet for Astley House.
Meet the Team (2)

Kirsty has been at Astley since May 2016. She is a registered Nurse and has a wealth of experience both in the NHS and Private sector. She enjoys all aspects of the service at Astley and is passionate about ensuring that each resident should live their life the way they choose.

Soniya has been at Astley for over 11 years. She joined the team as a nurse from India and has made her life in East Lothian. She loves getting to know all of the residents so that she can ensure the team of nurses and carers deliver a service which is entirely personal to them
Frequently Asked Questions about Astley House
What types of Care is Astley House registered for?
Older Person Care, Dementia are the registered (by the Care Quality Commission) categories of Care.
How many Rooms does Astley House have?
There are 35 Single Rooms and 2 Couples/Companion Rooms.
What are the Facilities & Services at Astley House?
Own Furniture if required, Pet Friendly (or by arrangement), Smoking not permitted, Close to Local shops, Near Public Transport, Minibus or other transport, Lift, Stairlift, Gardens, Bar/Café, Phone Point in own room, Television point in own room, Residents Internet Access are some of the Facilities & Services.
How far is Astley House to the centre of North Berwick?
0.2 mile(s) as the crow flies, distance by road may be significantly further.
Information on this page is displayed without responsibility for its accuracy on the part of carehome.co.uk. Please contact Astley House to verify any information. View our terms and conditions. Astley House has an Enhanced Service -more info.