RESTORE2

RESTORE2 is a physical deterioration and escalation tool for care/nursing homes based on nationally recognised methodologies including early recognition (Soft Signs), the national early warning score (NEWS2) and structured communications (SBARD).

RESTORE2, RESTORE2mini  and associated resources and implementation materials can be downloaded from the West Hampshire CCG webpage. The WHCCG website contains full information about using RESTORE2 and ordering printed copies of any materials. Pdf copies of the RESTORE2  and RESTORE2mini can also be downloaded directly from the Resources Zone on this webpage.

Developers note: NHS West Hampshire CCG is keen to work with suppliers interested in developing digital versions of RESTORE2TM and RESTORE2TMmini. Information and contact details for anyone interested in developing a digital product are provided at the bottom of this webpage.

RESTORE2, RESTORE2mini  and associated training materials include:

• RESTORE2
• RESTORE2 mini
• RESTORE2 mini (A5) with Patient/Resident ID (e.g. for filing in Clients Notes)
• RESTORE2 mini (A4) with Patient/Resident ID (e.g. for filing in Clients Notes)
• RESTORE2 Trainers Rollout Handbook
• RESTORE2 Trainers Rollout Handbook (e-book version for Android and iOS tablets)
• RESTORE2 Trainers Slides (v1.3)
• RESTORE2 mini Trainers Slides (v1.4)
  

Support to Care Homes across Wessex from Wessex PSC

There are a variety of free online training and resources available to help your team implement and use RESTORE2 and RESTORE2mini and we are also able to provide advice and guidance about these tools, virtual (video-based) staff training and other related issues including for example Soft Signs, the National Early Warning Score (NEWS2), the SBARD communication tool and End of Life considerations. 

A generic letter containing more information about the sort of support that can be accessed by Care Homes can be downloaded from the Resources Zone on the right hand side of this webpage.

Carers working in a residential care home, or professional or family carers supporting someone in their own home, can access a number of tools including RESTORE2 and Soft Signs from the AHSN network to help recognise physical deterioration and take the appropriate actions.

SBARD Communication Tool (Wessex PSC version)

SBAR is an easy to use, structured form of communication that enables information to be transferred accurately between individuals.

SBARD is not copyrighted and Wessex PSC have developed an open version in Word format to assist Care Homes wanting either a generic form or a template that they can customise for local use.

The generic SBARD Communication Tool can be downloaded from the Resources Zone on the right hand side of this webpage.

RESTORE2 - a physical deterioration and escalation tool for care/nursing homes

RESTORE2 is based on NEWS2 and has been a key element of the process of implementing NEWS2 within Care Homes, initially across Wessex and subsequently nationally via the AHSN network.

Since its release in 2018 RESTORE2 has attracted a number of Awards including a Parliamentary Award for Excellence in July 2019, the Sir Peter Carr Partnership Award in November 2019 and most recently the Deteriorating Patients & Rapid response Systems Award at the HSJ Value Awards 2020.

Read more about the National and Regional recognition and endorsements.

RESTORE2 is a physical deterioration and escalation tool for care/nursing homes (*)  based on nationally recognised methodologies including early recognition (Soft Signs), the national early warning score (NEWS2) and structured communications (SBARD).

RESTORE2 uses NEWS2 reproduced from: Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.

*Wessex PSC advises that all care providers conduct a robust internal governance review prior to use of any clinical escalation tool, including RESTORE2, to ensure that the clinical thresholds and escalation actions are appropriate for the care settings in their organisation.

RESTORE2 was co-produced by West Hampshire CCG and Wessex Patient Safety Collaborative. 

It is designed to support homes and health professionals to:

• Recognise when a resident may be deteriorating or at risk of physical deterioration
  
• Act appropriately according to the residents care plan to protect and manage the resident
  
• Obtain a complete set of physical observations to inform escalation and conversations with health professionals
  
• Speak with the most appropriate health professional in a timely way to get the right support
  
• Provide a concise escalation history to health professionals to support their professional decision making.
  

The full series of 6 videos about implementing and using RESTORE2 in Care Home settings together with some Case Study based scenarios can be viewed below.

RESTORE2mini (Soft Signs)

A "Soft Signs" only version of RESTORE2 entitled RESTORE2mini is now available for Care Homes wanting to use a "Soft Signs" approach as a pre-diagnostic indicator of concern" to facilitate earlier treatment and avoid unnecessary transfers to hospital. 

A copy of the RESTORE2mini tool can be downloaded from the West Hampshire CCG Website via the link above.

Video 1: An introduction to RESTORE2

Video 2: What is RESTORE2?

Video 3: Why use RESTORE2?

Video 4: Some scenarios based on RESTORE2

Video 5: GP information about RESTORE2

Video 6: Implementation advice about rolling out RESTORE2

Developers note regarding digitalising RESTORE2 and RESTORE2mini

We understand that a number of organisations across the country are exploring the creation of digital versions of the nationally recognised RESTORE2 tool. This has been brought to the forefront of consciousness in light of the recent COVID-19 pandemic, the impact of the virus within care/nursing homes and the speed at which solutions need to be developed to support this vital area of healthcare.

NHS West Hampshire CCG is keen to work with developers to ensure that all care/nursing homes have access to a digital version of RESTORE2 and RESTORE2mini as quickly as possible. When considering this it is important to recognise RESTORE2 has been trademarked by NHS West Hampshire CCG in order to ensure consistency across discrete implementations. This consistency applies to both the look and feel of the tool as well as the clinical pathways that will be impacted by a transition to a digital platform. 

NHS West Hampshire CCG, with the help of Wessex AHSN, has developed a Market Specification for both RESTORE2 and RESTORE2mini. This Market Specification will enable organisations to develop digital solutions that remain familiar for those using the existing RESTORE2 and RESTORE2mini tools across the UK, whilst ensuring the clinical safety of patient pathways after the transition to a digital platform. Through establishing this specification, it is anticipated that care providers will adopt digital versions of the RESTORE2 tool more rapidly due to the assurance it provides.

Organisations should not progress their own independent adaptations of the RESTORE2 tool without the express permission of NHS West Hampshire CCG. If you have any queries, please direct them to West Hampshire CCG.

Further information on this workstream can be obtained from Geoff Cooper (Programme Lead) via email or via the contact link at the bottom of this page.