Updated 3 June 2026
D-Restricted Ltd is a single specialty service providing tongue tie assessment and procedures to infants across Coventry, Warwickshire and Leicestershire. Tongue tie, also known as ankyloglossia, is a condition where the strip of skin (called the frenulum) connecting the infants’ tongue to the bottom of their mouth is shorter than usual. Some infants require a surgical intervention to release the tongue, which is known as a frenulotomy. The provider carried out assessments of tongue function and feeding ability prior to carrying out the frenulotomy. In 2025, the service carried out 400 tongue tie appointments. This included 339 assessment and frenulotomy procedures being carried out, 48 assessments only, and 17 follow up feeding support appointments.
The provider is qualified to provide frenulotomy divisions for infants up to the age of 12 months, however the procedure is normally done on newborn babies to infants 4 months of age. Divisions of older infants are referred to the local NHS team or to the patient’s GP.
The service has a registered manager (RM) who is also the sole practitioner who carried out the regulated activity. The RM is a registered general nurse with a background in neonatal nursing and is an approved independent tongue tie practitioner with the Association of Tongue Tie Practitioners (ATP). They were also registered with the International Board of Certified Lactation Consultants (IBCLC) to provide feeding support. Along with the frenulotomy service, the provider offered infant feeding, baby massage, baby yoga and lactation support services and a tongue tie training programme which are not regulated by Care Quality Commission (CQC).
D-Restricted Ltd has been registered with CQC under its current registration since September 2023. The service originally registered with CQC in 2019, however, they changed to a limited company and had to re-register the service. The service is registered to carry out the regulated activity of surgical procedures, only for the purpose of a frenulotomy.
We carried out an announced assessment on 24, 25 and 27 February 2026 as the service had not been assessed before under its current registration. We gave short notice announcement of this assessment to ensure the RM was available and there was opportunity for us to observe care and treatment. A team of 2 inspectors carried out the onsite assessment.
As part of our assessment, we visited the clinic where the assessment and frenulotomy took place and visited a nearby community center to observe the support group and speak to people who had used the service. We observed 2 tongue tie assessments and 2 frenulotomy procedures and reviewed 14 patient records. We spoke to 9 caregivers whose infants had undergone an assessment and frenulotomy within a 12-month period prior to our site visit. We refer to people with parental responsibility for the infant as caregivers throughout this report. We also refer to the baby being assessed and undergoing frenulotomy as the infant throughout the report.
We spoke with 2 partner organisations and reviewed the providers’ policies and procedures, as well as feedback received from caregivers.