RESTORE2 and RESTORE2Mini 

Free early deterioration training for care homes and home care providers 

RESTORE2 is an excellent tool which helps carers to recognise early signs of deterioration in those they care for. By recognising deterioration earlier we improve outcomes for those we care for by getting the right help to them as quickly as possible. RESTORE2 is proven to reduce non-elective hospital admissions. It also provides very structured information for clinicians to enable them to act appropriately according to patient needs. 
 
The Lead Trainer for RESTORE2, Michele Tuttle, works for the Nottinghamshire Alliance Training Hub (NATH) and is able to offer FREE training in RESTORE2 and RESTORE2Mini to all care homes and home care providers in Nottingham and Nottinghamshire. This training is offered in partnership with the Nottingham and Nottinghamshire Clinical Commissioning Groups (CCGs) and the East Midlands Patient Safety Collaborative. 
 
This is an excellent opportunity for you to up-skill your staff and provide even better care than you already do for your residents / service users. 

Expected outcomes from the training 

Reduce deterioration-associated harm in adults 
Increase the safety of patients / residents / service providers who are vulnerable to deterioration 
Increase system coordination around deteriorating patients 

What is RESTORE2? 

RESTORE2 is a physical deterioration and escalation package designed specifically for residential and nursing homes, and the domiciliary care sector. It will help support the work you already do supporting Enhanced Health in Care Homes (EHCH) home rounds and Multi-Disciplinary Team (MDTs). 
1. Recognise soft signs, 2. Take observations, 3. Calculate NEWS2, 4. Get the right help early, 5. Get your message across
Soft Signs – Uses soft signs language developed with carers to support easy recognition of possible deterioration. 
 
NEWS2 – (National Early Warning Score) – Set of clinical observations which improves the detection and response to clinical deterioration in adult patients and is a key element of patient safety and improving patient outcomes. 
 
SBARD – (Situation, Background, Assessment, Recommendation, Decision) – Communication to achieve a clear, structured and concise communication between MDTs during the handover process or when recording incidents. 
Logo of RESTORE2 - Recognise early soft signs, Take observations, Respond, Escalate

Why RESTORE2? 

Recognise when someone may be deteriorating or at risk of physical deterioration 
Act appropriately according to the patient’s care plan and treatment escalation plan 
Be confident to measure a complete set of physiological observations (observations) to inform escalation and conversations with health professionals 
Escalate to the most appropriate health professional in a timely manner with the right and relevant information to aid professional 

Why RESTORE2Mini? 

Where there are limitations to implementing all elements of RESTORE2 due to familiarity, kit availability etc., providers are encouraged to use RESTORE2Mini 

What do organisations say, that are already using the tool? 

“Staff feel more confident in the actions they are taking in regards to a deteriorating resident.” 
Happy, confident person with thumbs up
“Since receiving RESTORE2 training the care home manager reported how easy they found it to implement. Although, acknowledging at first some staff felt nervous expressing that they didn’t think they had the skills - this was soon overcome once they had received the training, with staff saying they now understand exactly what signs they are looking for.” 
“It is so much easier and quicker to speak with medical professionals after using this tool as it gives a better picture of the present deterioration in the residents compared with the usual presentation when unwell. It gives medical professionals a score to go off.” 
Professionals taking notes
“GPs state they are receiving far more detailed information from providers using RESTORE2 which enables them to make the appropriate decision as to what course of action to take.” 
“The Advanced Nurse Practitioner commented on how helpful the documentation was and that it assisted her in her response and assessment.” 
Tipping a bottle of medicine into hand
“Mrs S was diagnosed with a chest infection and antibiotics prescribed. Due to us using RESTORE2, a visit from a health professional was organised in a timely manner and appropriate medications prescribed and administered in the space of a few hours.” 
“The care home staff started seeing NEWS2 scores up as high as 7 during the first wave of COVID-19. Using the RESTORE2 tool supported the care home staff in getting a timely and appropriate response.” 
Clicking a stopwatch
“Staff have since stated (after using RESTORE2) that they feel more confident escalating concerns regarding a resident’s health as the tool is recognised and easy to use. It creates an easy to follow plan which fills the staff with confidence.” 

Different training options available 

RESTORE2 

This session takes around 90 minutes and includes: 
 
Understanding your resident/service users Baseline – what is normal for them including their Baseline NEWS2 score 
Soft Signs – the different types, universal signs and individual soft signs 
Taking a set of physiological observations and calculating a NEWS2 score 
Based on the NEWS2 score, an appropriate escalation process in accordance with your resident/service user’s Treatment Escalation Plan 
SBARD – an excellent communications tool which enables you to get important information across in a concise, structured way 

RESTORE2Mini 

This session takes around 45 minutes and includes: 
 
Understanding your resident/service users Baseline – what is normal for them 
Soft Signs – the different types, universal signs and individual soft signs 
SBARD – an excellent communications tool which enables you to get important information across in a concise, structured way 

RESTORE2 / RESTORE2Mini Refresher 

This is ideal for providers who are already using either tool but would like the opportunity to discuss the tool with the Trainer and update skills for any new staff members etc. 

Meet our Trainer 

""
 
Michele Tuttle 
Care Project Officer 
 
 
For further information on the different training options, contact Michele by: 
 
Phone: 07554 779715 
 
 

"Managing Deterioration using NEWS" series from Health Education England 

Introduction to sepsis and serious illness 

Preventing the spread of infection 

Soft signs of deterioration 

NEWS What is it 

Measuring the respiratory rate 

Measuring oxygen saturation 

Measuring blood pressure 

Measuring the heart rate 

Measuring the level of alertness 

How to measure temperature 

Calculating and recoding a NEWS score 

Structured communications and escalation 

Treatment escalation plans and resuscitation 

Recognising deterioration in people with a learning disabilities 

How to use your pulse oximeter and COVID-19 diary 

Logo of NHS West Hampshire Clinical Commissioning Group
Logo of Wessex Patient Safety Collaborative
Logo of RESTORE2 - Recognise early soft signs, Take observations, Respond, Escalate
RESTORE2 was created by NHS West Hampshire Clinical Commissioning Group with support from the Wessex Patient Safety Collaborative 
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