Going forwards/introduction of the RESTORE2 Mini Tool

The RESTORE2 Mini includes using soft signs to detect deteriorating and escalating concerns using SBARD. NEWS2 may be used in addition, depending on local competence and skill mix.

RESTORE 2 Mini Flyer
Recognise Early Soft Signs Take Observations, Respond, Escalate
Ask your resident - how are you today?
Does your resident show any of the following 'soft signs' of deterioration?
Increasing breathlessness (Purple), chestiness or cough/sputum (Purple)
Change in usual drinking/diet habits
A shivery fever (Purple) - feel hot or cold to touch
Reduced mobility - 'off legs' / less co-ordinated or muscle pain (Purple)
New or increased confusion/agitation/anxiety/pain
Changes to usual level of alertness/consciousness/sleeping more or less
Extreme tiredness (Purple) or dizziness (Purple)
'Can't pee' or 'no pee', change in pee appearance
Diarrhoea, vomiting, dehydration
Any concerns from the client/family or carers that the person is not well as normal
If purple signs are present, think possible COVID-19.
If YES to one or more of these triggers - take action!
Get your message across
Resident/patient name:
NHS No.:
D.O.A:
Rain the Alert within your home e.g. to a senior carer, registered nurse or manager. If possible, record the observations using a NEWS2 based system. Report your concerns to a health care professional e.g. Nurse/GP/GP Hub/111/999 using the SBARD Structured Commination Tool.
Situation e.g. what's happened? How are they? NEWS 2 score if available.
Background e.g. what is their normal, how have they changed?
Assessment e.g. what have you observed/done?
Recommendation 'I need you to...'
Decision What have you agreed? (including any Treatment Escalation Plan & further observations)
Name of persona completing:
Today's date:
Signature:
Box for key prompts/decisions
Don't ignore your 'gut feeling' about what you know and see. Give any immediate care to keep the person safe and comfortable.

The Programme Management Office for Ageing Well are currently working with partners from Yorkshire Ambulance Service, Sheffield ECHO (St Luke’s Hospice) and Care home Managers to design a training package that will suit the needs of the care home workforce. The team are also working alongside the ReSPECT team to deliver a holistic training package, as both approaches compliment one another in practice and should be used in conjunction. (Further information on ReSPECT)

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