RESTORE2™ endorsed by BGS and DHSC
COVID-19: Managing the COVID-19 pandemic in care homes for older people – British Geriatric Society
If taking vital signs, care homes should use the RESTORE2 tool, or other equivalent tools supported by local healthcare providers, to recognise deterioration in residents, measure vital signs and communicate concerns to healthcare professionals.
Admission and Care of Residents in
a Care Home during COVID-19 – DHSC
Care homes will be supported to recognise residents with symptoms using daily monitoring
as above. During the weekly check-in, the clinical lead can support the home to understand
the RESTORE2 and NEWS2 scoring system as a way of monitoring residents with
symptoms.
Areas rolling out RESTORE2™ (full adoptors and pilot sites)
- Buckinghamshire CCG
- Dorset CCG
- East Suffolk
- Frimley ICS (Surrey Heath CCG, East Berkshire CCG, North East Hampshire & Farnham CCG)
- Fareham & Gosport CCG
- Kernow CCG
- Lancashire
- Manchester
- Mid Devon
- North Hampshire CCG
- Portsmouth CCG
- Sheffield CCG
- Somerset CCG
- South Eastern Hampshire CCG
- Southampton City CCG
- Torbay & South Devon
- West Cheshire CCG
- West Hampshire CCG
- Wirral CCG
Below, we share some of the successes of the RESTORE2TM programme, including recognition and awards from regional and national events.
Winners of the prestigious ‘Excellence in Primary Care’ Award
10th July 2019
MPs in England have honoured NHS West Hampshire Clinical Commissioning Group and Wessex Academic Health Science Network for excellence in this year’s NHS Parliamentary Awards.
NHS West Hampshire’s Quality Team with the support of Wessex Academic Health Science Network introduced an early warning system in local care homes to help staff decide if a resident is just ‘under the weather’ or at risk of a serious illness, like sepsis.
When care and nursing home staff see that a resident is becoming unwell, they can use the system called ‘RESTORE2’ to combine these ‘soft signs’ with standard observations, using the National Early Warning Score, and get the right level of urgent or emergency help.
This enables residents to receive care in the most appropriate place, at the right time and by the most competent person, preventing hospital admissions and saving lives.
The National Early Warning Score returns a score between 0 and 20 based on the results of:
- Breathing rate
- Blood oxygen level
- Blood pressure
- Pulse
- Level of consciousness or new confusion
- Body temperature
Patients with a score of five or more are at risk of severe illness, poor recovery and need urgent assessment and treatment. The tool supports local GPs to make an assessment based on what care is required when and by whom, to ensure prompt intervention. West Hampshire CCG is trailblazing the roll out to care homes and has already had enquiries from colleagues in Lancashire, Surrey, Sussex, Somerset and Berkshire, all of whom are keen to learn about the CCG’s initiative.
Heather Hauschild, Chief Officer said: “I would like to offer huge congratulations to everyone involved in the roll out of Restore2 especially our local GPs and care homes. It is a fantastic achievement to win a Parliamentary Award and very much deserved. It is also reflects our commitment to working with other partners in Hampshire, who provide health and care, to keep people safe and well.
Ellen McNicholas, Director of Quality and Board Nurse added: “We are delighted to win the Parliamentary Award for Excellence in Primary Care. It is an amazing achievement which recognises the hard work and dedication of the Quality team who support the delivery of care to the population of west Hampshire. This is a fantastic accolade to the NHS here in Hampshire.”
Simon Stevens, NHS England chief executive, said:
“It has once again been a privilege to celebrate with some of the extraordinarily dedicated and selfless health and care heroes who make the NHS what it is today – the much-loved institution that our patients say is what makes them most proud to be British.
“From those who have devoted their lives to helping people and supporting some of our most vulnerable, to delivering pioneering lifesaving treatments, the NHS Parliamentary awards are rightly honouring those who continue to make a huge contribution to our country, through our NHS Long Term Plan.”
The awards were launched in 2018 to recognise the massive contribution made by those working in and alongside the NHS. We were among the 12 winners – selected from hundreds of nominations submitted by over 230 MPs – to receive their awards at a ceremony on the Palace of Westminster’s Terrace Pavilion, hosted by Dr Sara Kayat, NHS GP & TV Doctor. Health Select Committee Chair Dr Sarah Wollaston MP, Health Secretary Matt Hancock MP, and the panel of judges who collectively represent millions of NHS staff, patients and carers all paying tribute to the outstanding local NHS heroes.
Somerset Clinical Commissioning Group was announced winners of the Sir Peter Carr Partnership Award at an award ceremony in Leeds on Monday 11 November 2019.
The team, as part of an integrated care system approach together with Yeovil District Hospital and South West AHSN, built partnerships across acute and primary care with a focus on local nursing homes.
The overall aim of the CCG’s improvement project was to prevent avoidable hospital admissions and provide care at the place of a person’s choice. The project used RESTORE2 (Recognise Early Soft-Signs, Take Observations, Respond and Escalate) to encourage and implement the use of the National Early Warning Score (NEWS2) throughout the community to ensure a common language across healthcare professionals, nursing homes, GP primary care, out of hours and emergency services. This enables safe, effective and timely patient care to be provided by the right person, in the right place, at the right time.
The initiative has already shown a high level of success at an early stage with nursing homes that are already at the front of the curve in adopting this new innovation. If the initiative continues to be successful over the whole of Somerset it will have a very high impact in terms of improving patient safety, saving lives, enhancing patient experience, workforce competency and capacity, as well as improving clinical and financial efficiency.
Regional winner for ‘Excellence in Primary Care’
NHS West Hampshire’s Quality Team introduced an early warning system in local care homes to help staff decide if a resident is just ‘under the weather’ or at risk of a serious illness, like sepsis.
When care and nursing home staff see that a resident is becoming unwell, they can use the system called ‘RESTORE2’ to combine these ‘soft signs’ with standard observations, using the National Early Warning Score, and get the right level of urgent or emergency help.
Matthew Richardson, Deputy Director of Quality and Nursing said: “We are absolutely delighted to have been recognised by such a high profile national NHS award. We are grateful for the support and enthusiasm from our local care homes who have really run with RESTORE2. We know it works – care homes have told us that because of the CCG’s initiative they have been able to identify residents at risk and prevent them from getting really ill.”
First for accreditation
Woodley Grange Care Home is registered to provide care for older people with a wide range of needs. It offers residential and dementia care. In mid 2018, RESTORE2TM was introduced and the home became the first care home in West Hampshire CCG to achieve accreditation status.
Matthew Richardson (Deputy Director of Quality and Nursing) and Nicki Rogers (Nurse Facilitator) for West Hampshire CCG presented the award to the Woodley Grange champions on 9 January 2019.
