National Programme —


Recognise Early Soft-signs, Take Observations, Respond.

An old man laughs and holds the hand of a caregiver

Recognise  when a resident may be deteriorating or at risk of physical deterioration.

Act appropriately according to the resident’s care plan to protect and manage the resident.

Obtain a complete set of physical observations to inform escalation and conversations with health professionals.

Speak with the most appropriate health professional in a timely way to get the right support.

Provide a concise escalation history to health professionals to support their professional decision-making.

Detailed Programme Information

RESTORE2: Recognise Early Soft-signs, Take Observations, Respond 

The British Geriatric Society and Care Quality Commission recommend using RESTORE2 to take vital signs measurements and recognise deterioration in residents.

The South West AHSN and local Integrated Care Systems are supporting care homes to access training in and sustainably adopt managing deterioration tools including RESTORE2 and RESTORE2 mini across the South West. This work was also supported by former Clinical Commissioning Groups (CCGs) across Cornwall, Devon and Somerset.

RESTORE2 was originally developed and co-produced by the NHS West Hampshire Clinical Commissioning Group and is now part of the Hampshire and Isle of Wight Integrated Care System and Wessex Academic Health Science Network.

RESTORE2 includes the National Early Warning Score (NEWS2), a tool developed by the Royal College of Physicians to improve the detection and response to clinical deterioration in adult patients and is a key element of patient safety and improving patient outcomes.

RESTORE2 mini is a ‘soft signs’ only version of the tool for use in settings where it is not possible to make clinical observations.

Successes so far:

  • 1200 staff in 245+ care homes across the South West were trained in RESTORE2.
  • 196 domiciliary care staff from 26 agencies and organisations across the South West were trained in RESTORE2.
  • 200+ staff across the South West took part in specialist dementia training and Enhanced Health in Care Homes.

Both RESTORE2 and RESTORE mini include the evidenced communication tool SBARD (Situation, Background, Assessment, Recommendation and Decision).

For free training resources for care home and domiciliary care workers in using RESTORE2 and recognising deterioration
please visit the Hampshire, Southampton and Isle of Wight CCG website here.

RESTORE2 Interactive Toolkit

The South West AHSN has developed an interactive toolkit to support the roll-out of RESTORE2 and RESTORE2mini training in the South West. It features in-depth guidance, templates, and resources, and an interactive display version is available.

RESTORE2mini Online Training

RESTORE2mini online training, developed with Blue Stream Academy and the Somerset LARCH team enables nursing and care professionals to gain new deterioration management skills and improved knowledge and understanding of the people for whom they care. 

This free training resource is for all carers, accessible 24/7 online, to help provide better care across health and care environments.

RESTORE2 Training Teams across the South West

Torbay and South Devon 

RESTORE2 and RESTORE2Mini training in this region of Devon is being delivered by Torbay and South Devon NHS Foundation Trust. To find out more information please contact Annette Halstead, Clinical Skills Team Administrator (

West Devon  

RESTORE2 training is being delivered to all residential and nursing homes throughout West Devon, Plymouth and South Hams by LiveWell Southwest. To find out more please email

East and mid-Devon  

Currently, RESTORE2 training is being delivered in the East and mid-Devon region by the Eastern Care Services team. For more information please email

Rest of Devon 

For RESTORE2 training across other parts of Devon please contact NHS Devon (


To register an interest in RESTORE2 training in care homes in Somerset please contact the LARCH (Listening And Responding to Care Homes) team at


RESTORE2 training is being delivered by Truro and Penwith College and the Care Home Support Team. To register an interest in training, please email the team at

Primary Care  

We are working closely with Primary Care Networks and their supporting organisations across the South West to support the provision of RESTORE2 training and awareness-raising of resources within primary care, to increase the impact of this work.

For more information regarding primary care staff training in RESTORE2 in Cornwall visit Kernow Health. For primary care staff training in Devon please contact NHS Devon (

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Free training resources for care home and domiciliary care workers in using RESTORE2 from Hampshire, Southampton and Isle of Wight CCG

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RESTORE2 interactive toolkit

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