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Training and resources for care providers and RESTORE2

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.

Using RESTORE2 to spot deterioration

Recently, good practice recommendations, 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. RESTORE2 includes the National Early Warning Score tool (NEWS2) and this is suitable for all adults over the age of 16 (except pregnant women).

Free training for care providers

The government’s updated guidance 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 in the West of England on these vital tools – find out what this covers in our short video and book your place online below:

Book a place on our free online training sessions

RESTORE2 mini 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.

RESTORE2 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 RESTORE2 mini 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 RESTORE2 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.

Feedback from care providers

  • Jacqui Croxford is a Care Home Manager with Darbyshire Care. In the summer of 2020 she completed our free online Train the Trainer programme for RESTORE2 and has been an advocate of this evidence-based tool ever since. In this blog, Jacqui explains why.


  • 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. RESTORE2 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.”

  • Read a case study of how the team at Fessey House, a residential care home in Swindon, helped provide swifter response to the signs of deterioration, after implementing the RESTORE2 tool, and the positive impact this had on GP appointments.

Find out more about RESTORE2

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. RESTORE2 won a HSJ Patient Safety Award in 2020.

Follow these links to download RESTORE2 resources:

To receive a hard copy pack with copies of these resources please email

Free videos: spotting the early warning signs of residents becoming unwell

Wessex and the West of England AHSNs, and West Hampshire CCG, funded by Health Education England, have collaborated to produce a series of free videos and e-learning materials to support staff working in care homes to care for residents who are at risk of 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.

1. Introduction to serious illness for carers 8. Measuring the heart rate
2. Preventing the spread of infection 9. Measuring level of alertness
3. Soft signs of deterioration 10. How to measure temperature
4. NEWS What is it? 11. Calculating and recording a NEWS score
5. Measuring the respiratory rate 12. Structured communication and escalation
6. Measuring oxygen saturation 13. Treatment escalation plans and resuscitation
7. Measuring blood pressure 14. Recognising deterioration with a learning disability
  • These videos are part of Health Education England’s e-Learning for Healthcare (e-LfH) Hub. Follow instructions here to gain certification.


Learning Disabilities during COVID-19

If you work in a care home or organisation for people with Learning Disabilities and would like some further information on how we can support you or available resources and training please view our page here.

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