RESTORE2

RESTORE2TM 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).

RESTORE2TM, RESTORE2TMmini  and associated resources and implementation materials can be downloaded from the West Hampshire CCG webpage. The WHCCG website contains full information about using RESTORE2TM and ordering printed copies of any materials. Pdf copies of the RESTORE2TM  and RESTORE2TMmini 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.

RESTORE2TM, RESTORE2TMmini  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 RESTORE2TMmini 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.

RESTORE2TM - a physical deterioration and escalation tool for care/nursing homes

RESTORE2TM 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 including: (full adopters and pilot sites) East Midlands; Eastern; Innovation Agency (North West Coast); Kent, Surrey and Sussex; Oxford; South West; West of England and Wessex AHSNs.

Since its release in 2018 RESTORE2TM 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 it has been shortlisted as a finalist in the System or Commissioner Led Service Redesign Initiative category at the HSJ Value Awards 2020.

Read more about the National and Regional recognition and endorsements.

RESTORE2TM 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).

RESTORE2TM 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 RESTORE2TM, to ensure that the clinical thresholds and escalation actions are appropriate for the care settings in their organisation.

RESTORE2TM 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 RESTORE2TM in Care Home settings together with some Case Study based scenarios can be viewed below.

RESTORE2TMmini (Soft Signs)

A "Soft Signs" only version of RESTORE2TM entitled RESTORE2TMmini 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 RESTORE2TMmini tool can be downloaded from the West Hampshire CCG Website via the link above.

Video 1: An introduction to RESTORE2TM

Video 2: What is RESTORE2TM?

Video 3: Why use RESTORE2TM?

Video 4: Some scenarios based on RESTORE2TM

Video 5: GP information about RESTORE2TM

Video 6: Implementation advice about rolling out RESTORE2TM

Developers note regarding digitalising RESTORE2TM and RESTORE2TMmini

We understand that a number of organisations across the country are exploring the creation of digital versions of the nationally recognised RESTORE2TM 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 RESTORE2TM and RESTORE2TMmini as quickly as possible. When considering this it is important to recognise RESTORE2TM 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, is developing a Market Specification for both RESTORE2TM and RESTORE2TMmini . This Market Specification will enable organisations to develop digital solutions that remain familiar for those using the existing RESTORE2TM and RESTORE2TMmini 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 RESTORE2TM tools more rapidly due to the assurance it provides.

We had hoped this Market Specification would be available by the end of May 2020 but Covid-19 related work pressures have resulted in this being delayed until early July. We request that organisations do not progress their own independent adaptations of the RESTORE2TM tool without the express permission of NHS West Hampshire CCG in advance of this specification being published. If you have any queries, please direct them to NHS West Hampshire CCG via the contact link at the bottom of this page).

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.