Originally a farmhouse based in an agricultural area in the parish of Patcham, north of Brighton, it was bought and extensively remodelled in 1790 for a long-established local family.
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At the time of the Domesday survey in 1086, Moulsecoomb was an outlying part of the large parish of Patcham, which was centred on Patcham village north of Brighton.
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The A27 provides access to the north of the estate, adjacent to the Asda superstore and the A23 access to the west via Patcham.
It is a northern suburb of the city, west of Patcham, the A23 (London Road) and the London to Brighton railway line, north of Withdean and northeast of West Blatchington.