Milk and Mums Also known as Mrs Gillian Lund

Updated 13 March 2023

Milk and Mum’s is a private tongue tie service which specialises in tongue tie surgical procedures to improve the feeding outcomes for new-born to nine month old babies who are born with a tongue tie.

Research suggests that approximately one in ten babies are born with a tongue tie which is when a strip of skin connects the baby’s tongue to the bottom of their mouth, which means their tongue is not able to move freely. Some babies with tongue tie may have feeding issues and require a surgical intervention to release the tongue tie, which is known as a frenulotomy. Throughout this report we will refer to this as a tongue tie procedure.

The service has been registered with the CQC since 2019 to provide the regulated activities of surgical procedures.

There is a registered manager in post who is listed as an approved independent tongue tie practitioner with the Association of Tongue Tie Practitioners (ATP).

The service had not been inspected previously.

From January to December 2022 the service carried out 390 tongue tie procedures.

Updated 13 March 2023

We rated this location as good because:

Staff had training in key skills, understood how to protect babies and primary carers from abuse, and managed safety well. A comprehensive assessment was completed for each baby which included an infant feeding assessment. The service controlled infection risk well and kept detailed records of care and treatment. The service managed safety incidents well and learned lessons from them.

Staff followed national guidance and evidence-based practice to provide good care and treatment. The registered manager monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of supporting primary carers to make informed decisions about their baby’s care and treatment. They gave advice on infant feeding and pain relief when needed.

Staff were highly motivated and passionate and provided dedicated and personalised emotional support to primary carers and their babies. They treated them with compassion and kindness. They supported the primary carer to understand the condition of tongue tie and make decisions about whether to go ahead with the tongue tie procedure.

The service planned care to meet the needs of local people. Primary carers could access the service when they needed it and did not have to wait too long for a consultation. The service took account of individual needs and made it easy for primary carers to give feedback.

The registered manager promoted a positive culture. Staff felt respected, valued and were supported to develop their skills. They provided exceptional care to support primary carers and improved infant feeding outcomes for babies. They engaged well with primary carers to plan and manage services and were committed to continually improving services. The service had implemented a vision for what it wanted to achieve and had aims and objectives to turn it into action.

Updated 13 March 2023

We rated this service as good. This was because we rated caring as outstanding and safe, effective, responsive and well led as good.