RESTORE2

RESTORE2 (Soft Signs, NEWS2 and SBAR/D)

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 Hampshire and Isle of Wight Integrated Care Board (HIOW ICB) and Wessex Patient Safety Collaborative (PSC). 

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.

RESTORE2mini (Soft Signs and SBAR/D)

RESTORE2 has also been adapted for use by 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. 

Named RESTORE2mini, the Soft Signs based tool has also been adapted for use in care settings including Care Homes, Domiciliary/Home care and Learning Disability.

The National Deterioration Forum

The National Deterioration Forum provides a live interactive platform for network members to engage with each other, sharing challenges and best practice in the management of Physical Deterioration of all conditions across the NHS. The National Deterioration Forum is a membership based forum accessed via the FutureNHS platform.

Training Resources

Free resources to support the use of RESTORE2  and RESTORE2mini can be downloaded from the resources tab at the right of this webpage. Other related resources including RESTORE2, Soft Signs, the National Early Warning Score (NEWS2), the SBARD communication tool, End of Life considerations and virtual (video-based) staff training) can also be found on our Resources for Care Homes webpage, our Domiciliary Care webpage and our Learning Disability webpage.

More information about the SBARD Communication Tool, including some downloadable resources, can be viewed on our Safety Communications webpage. 

RESTORE2 and RESTORE2mini Training Videos

Wessex PSC have recorded training sessions for RESTORE2 and RESTORE2mini which can be delivered virtually to support the implementation of these tools in your care setting.

The video presentations can be viewed on the Health Innovation Wessex YouTube channel:

• RESTORE2 Training Presentation Video
• RESTORE2mini Training Presentation Video

The Roll Out Handbook and slide decks used as the basis for these training presentations can be downloaded from the Resources Zone at the top right of this webpage.

A series of videos about implementing and using RESTORE2 in Care Home settings, together with some case study based scenarios, can be viewed via the links at the bottom of this webpage or by using the quick links here:

• RESTORE2 Conversations
• Kingfisher Nursing Home - Restore2
• 1 RESTORE2 What Is It
• 2 RESTORE2 Primary Care
• 3 RESTORE2 Why Use It
• 4 RESTORE2 How to Roll Out
• 5 RESTORE2 Case Studies

More videos including implementation guidance and case studies can be viewed on the Hampshire & Isle of Wight ICS RESTORE2 webpage. 

RESTORE2 Video resources (Wessex PSC & HIOW ICB)

A series of 6 videos produced by Wessex PSC and HIOW ICB about implementing and using RESTORE2 in Care Home settings together with some case study based scenarios can be viewed below.

1. An introduction to RESTORE2
2. What is RESTORE2?
3. Why use RESTORE2?
4. Some scenarios based on RESTORE2
5. GP information about RESTORE2
6. Implementation advice about rolling out RESTORE2

Videos to support carers manage deterioration in residents and clients.

Wessex PSC and Health Innovation West of England have collaborated with Hampshire & Isle of Wight ICB 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 on Health Education England's YouTube channel. 

The team have also collaborated to re-film 7 of the videos specifically to support carers of people with a learning disability. These can be viewed on Health Education England's YouTube channel.

Blue Stream Academy

Blue Stream Academy is pleased to offer every carer throughout the UK free access to the RESTORE2mini eLearning module, created and developed alongside experts from Health Innovation South West. This RESTORE2mini eLearning module helps carers to improve communication between their own setting and other health and social care providers by presenting case studies and video sequences to ensure the correct usage of SBARD.