Recognising when a person’s health is deteriorating is important, particularly at this critical time. We are working, as part of the NHS response, to enhance the confidence of staff working in the community in detecting and responding to deterioration. We are an organisation which connects health and care providers to support innovation and improvement at pace and scale in the West of England region.
Recently, good practice recommendations, COVID-19: Managing the COVID-19 pandemic in care homes www.bgs.org.uk/resources/covid-19-managing-the-covid-19-pandemic-in-care-homes advised staff in care homes taking vital signs to use the RESTORE2™ tool to recognise deterioration, measure physical observations and communicate concerns to healthcare professionals. This may be useful information for those supporting people in their own homes as well.
Learning so far during the COVID-19 response has identified that staff who care for people with learning disabilities and autism could benefit from this training, either to refresh existing skills or to upskill where this is less familiar.
“Soft signs” are particularly valuable where individuals have difficulties in communicating when they are feeling unwell or in pain. RESTORE2TM includes the National Early Warning Score tool (NEWS2) and this is suitable for all adults over the age of 16 (except pregnant women).
Our online training sessions are open for booking:
The government’s updated guidance (31st July 2020) on admission and care of residents in care homes during COVID-19 includes use of NEWS2 and RESTORE2. We offer free training for care providers on these vital tools:
RESTORE2TMmini is for non-registered care staff and paid support staff who are not expected to perform observations, and covers “soft signs” of deterioration and structured communication. This training is particularly suitable for non-medical care settings, such as residential homes and supported living, as well as for domiciliary care providers. Book here
RESTORE2TM includes training on taking physical observations, including using pulse oximeters, and calculating the NEWS2 (national early warning score) and is suitable for all non-registered care staff, as well as being a refresher or upskilling for registered staff. It builds on the learning from the RESTORE2TMmini session. Book here
The train-the-trainer session will give those who have responsibility for training and supporting others the skills and confidence to deliver RESTORE2TM and mini sessions. Book here
These sessions are aimed at homes in the West of England region. If you are from outside of the area please contact your local AHSN to access local training.
Read a case study of how attending our RESTORE2 training helped a Silva Care employee spot the signs of deterioration in a care home resident.
Feedback from an attendee at one of our online sessions:
“Since my team have completed the RESTORE2™ training they have gained confidence to recognise and report soft signs of deterioration in the people we support. Restore 2 training was informative and interactive allowing my team the opportunity to really understand and put it into practice. Since completing the training my team have used what they have learnt to put across the information in order for a prompt, efficient response.”
RESTORE2™ is a tool to help care homes and nursing homes to recognise physical deterioration and to escalate this information. It was originally created by West Hampshire CCG.
Follow these links to download RESTORE2 resources:
To receive a hard copy pack with copies of these resources please email firstname.lastname@example.org
Spotting the early warning signs of residents becoming unwell
Health Education England have produced a series of freely available short training films on deterioration. The videos are around 3-4 minutes each and it will take just over 40 minutes to watch all of these. There are links below that will take you to specific topics, or click on the play button below to start watching them all.
- These videos are part of Health Education England’s e-Learning for Healthcare (e-LfH) Hub. Follow instructions here to gain certification.