RESTORE2TM is a physical deterioration and escalation tool for care/nursing homes.
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 resident’s 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.
RESTORE2TM makes National Early Warning Scores (NEWS2) accessible to care and nursing homes through the use of soft signs of deterioration. It includes a communication and escalation protocol developed with GP’s, ambulance providers and deterioration experts specifically for care/nursing homes to support them to raise concerns and a structured communication tool (SBARD) to ensure residents get the support they need.
RESTORE2TM can be downloaded and printed in colour (A4 – 6 sheets). You can also print additional NEWS2 charts from this document .
RESTORE2TM can be ordered from NHS Creative using code CS49286 (A4 CMTK 120gsm bond paper, trim, fold twice, drill 2 holes)
£0.11p per copy for 20,000
£0.14p per copy for 10,000
£0.16p per copy for 5,000
RESTORE2TM mini is a condensed version of the full RESTORE2TM tool – ideal for introducing care and residential homes that are currently unable to measure vital signs to the concepts of soft signs and SBARD structured communication. It is designed to act as a stepping stone to the adoption of the full RESTORE2TM tool. It’s also great to keep by the telephone / computer to support staff to communicate effectively.
RESTORE2TM mini can be downloaded and printed on A4 and folded to A5
RESTORE2TM mini can be ordered from NHS Creative using code CS50656 (A5 CMTK 250gsm uncoated paper £0.04p per copy (based on order of 5000)
These versions of RESTORE2TM mini have been created for homes who want to use the mini as a legal record or as an extension sheet to the full RESTORE2TM document.
The A5 version prints on one sheet of A4 and contains a short SBARD with the resident’s name, NHS number and date of birth, plus the completing person’s name, signature and date of completion.
The A4 version prints double sided and contains a full SBARD (the same as in the full RESTORE2TM version) with the resident’s name, NHS number and date of birth, plus the completing person’s name, signature and date of completion.
Both can be used as legal records of escalation.
The tool gives me the confidence to speak to others about my concerns.
Care Home Worker
The use of RESTORE2TM is encouraged, however users must acknowledge and comply with the following:
- RESTORE2TM uses NEWS2 reproduced from the 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 NEWS2 charts must be reproduced in full colour and high resolution only.
- RESTORE2TM and its components must not be modified/amended in any way.
- RESTORE2TM is trademarked and copyright West Hampshire Clinical Commissioning Group 2019
RESTORE2TM information for developers
Statement from NHS West Hampshire CCG and Wessex AHSN: Digitalising RESTORE2TM and RESTORE2TM mini
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 RESTORE2 TM and RESTORE2 TM mini 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 RESTORE2TM mini. This Market Specification will enable organisations to develop digital solutions that remain familiar for those using the existing RESTORE2TM tool and RESTORE2TM mini 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 tool more rapidly due to the assurance it provides.
We hope to create this Market Specification by the end of May 2020 and 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 matthew.richardson2@nhs.net (West Hampshire CCG).
