Domestic Address

Updated 3 November 2022

Domestic Address is operated by Rights of Passage Midwifery Ltd. The provider offered tongue tie services in North London. Tongue tie, also called ankyloglossia, is a condition where the strip of skin connecting the babies’ tongue to the bottom of their mouth is shorter than usual. Some babies benefit from surgery to release the tongue, a procedure called frenulotomy.

The provider carries out assessments of tongue function and feeding assessments to decide if frenulotomy is safe and likely to result in improved feeding for the baby.

The registered manager owns and operates the provider as the sole professional. They are qualified to provide frenulotomy procedures for babies up to one year old. Older babies are referred to NHS services.

The service registered with CQC to provide surgical procedures in June 2020. The service does not provide care directly from the registered address and instead uses rented clinical premises and people’s own homes.

The registered manager is a registered midwife and operates as an independent practitioner.

The service provides care not regulated by CQC, such as independent postnatal care. These did not form part of our inspection.

Appointments are offered from a rented room in a holistic therapy centre, which the registered manager adapted for this service. They have sole use of the room. They also offer appointments in people’s homes using mobile equipment.

The registered manager offers appointments on demand based on the distance to people’s homes and level of complexity of the procedure.

We use the term ‘primary caregiver’ to refer to the legal parent or guardian of the baby.

Updated 3 November 2022

We have not previously inspected this service. We rated it as good because:

• Risk assessment processes were comprehensive, personalised, and contributed to safe procedures.
• The registered manager controlled infection risk, followed national guidance in standards of care, and maintained up to date training.
• Consent processes were well established and consistently followed.
• Primary caregivers and their partners were treated with understanding, compassion, and patience.
• The registered manager offered a high standard of aftercare with clear communication about next steps.

Updated 3 November 2022

We rated this service as good because it was safe, effective, caring, responsive, and well led. Please see our main summary for more information.