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 was co-produced by West Hampshire CCG and Wessex Patient Safety Collaborative.
It is designed to support homes and health professionals to:
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.
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.
RESTORE2mini has also been adapted for use in other care settings including domiciliary/home care.
Training Materials (WPSC)
Free resources for trainers implementing RESTORE2 and RESTORE2mini can be downloaded from our Resources for Care Homes webpage.
RESTORE2, RESTORE2mini, RESTORE2mini domiciliary care resources (WHCCG)
Copies of the RESTORE2 tools, associated resources and implementation materials can be downloaded from the Hampshire, Southampton and Isle of Wight CCG webpage. The WHCCG website contains full information about using RESTORE2 and ordering printed copies of any materials.
Developers note: NHS West Hampshire CCG is keen to work with suppliers interested in developing digital versions of RESTORE2 and RESTORE2mini. Information and contact details for anyone interested in developing a digital product are provided at the bottom of this webpage.
Wessex AHSN and West Hampshire CCG RESTORE2 video resources
A series of 6 videos about implementing and using RESTORE2 in Care Home settings together with some case study based scenarios can be viewed further down this webpage.
Other RESTORE2Case studies and videos are available on the Hampshire, Southampton and Isle of Wight CCG webpage.
On-line video based NEWS2 and Deterioration training for community and care home staff (HEE)
Wessex AHSN and West of England AHSN have collaborated with West Hampshire CCG and Health Education England to produce a series of short videos (around 3 minutes each) to describe how to take measurements from residents correctly (such as blood pressure and oxygen saturation), spot the soft signs of deterioration, and prevent the spread of infection.
These videos can be used to support the implementation of RESTORE2 and RESTORE2mini in Care Homes and can be viewed via our Care Home Training Resources webpage.
RESTORE2 - National and Regional recognition and endorsements
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 the:
Parliamentary Award for Excellence in July 2019, (with NHSE Acknowledgement)
Sir Peter Carr Partnership Award in November 2019
HSJ 'System or Commissioner Led Service Redesign Initiative’ Value Award in September 2020 and the
HSJ 'Deteriorating Patients & Rapid response Systems' Patient Safety Award in November 2020
Read more about the National and Regional recognition for the work by West Hampshire CCG and Wessex PSC with RESTORE2 on the Hampshire, Southampton and Isle of Wight CCG webpage.
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. These resources can be viewed and downloaded from our Resources for Care Homes 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.
More information about the SBARD Communication Tool, including some downloadable resources, can be viewed on our Safety Communications webpage.
RESTORE2 Video resources
A series of 6 videos produced by WPSC and WHCCG about implementing and using RESTORE2 in Care Home settings together with some case study based scenarios can be viewed below.
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
The AHSN Networks promoting RESTORE2 across the UK
West of England AHSN
RESTORE2 Training resources for care providers
A case study: RESTORE2 in residential care
South West AHSN
In response to COVID-19, the South West Academic Health Science Network (SW AHSN) is working with its partners across Somerset, Devon and Cornwall to enhance the confidence of care home and domiciliary care staff in detecting and appropriately escalating deteriorating residents.
RESTORE2 Recognising and Escalating Deterioration
West Midlands AHSN
Several resources, including RESTORE2, have been produced with the view to support care homes and their staff effectively deal with deterioration among patients and residents.
Guidance released on 'soft signs' of deterioration
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.
