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.
The RESTORE2TM tool, associated resources and training materials can be downloaded from the West Hampshire CCG webpage.
RESTORE2 is also recommended for use by the British Geriatrics Society in their "COVID-19: Managing the COVID-19 pandemic in care homes" (BGS 25/3/2020) which states: "If taking vital signs, care homes should use the RESTORE2 tool to recognise deterioration in residents, measure vital signs and communicate concerns to healthcare professionals."
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.
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).
*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:
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.
RESTORE2 MiniTM (Soft Signs)
A "Soft Signs" only version of RESTORE2TM entitled RESTORE2 MiniTM 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 RESTORE2 MiniTM 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
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.