Greater Manchester

COVID-19: Digital Care Homes

Providing care homes with greater access to technology, tools & patient information

We are working with social care partners with an aim to provide care homes with greater access to technology, tools and patient information so that they are better equipped to protect and care for vulnerable residents in the event of a COVID-19 (Coronavirus) outbreak.

Some people are more at risk than others of becoming unwell very quickly and developing a serious illness. This is known as ‘deterioration’ and it is important that anyone who cares for individuals who are at risk of deterioration knows how to spot the signs, especially during the current COVID-19 outbreak.

For instance, if you work in a residential care home, or are a professional or family carer supporting someone in their own home, there are a number of tools available to help you recognise physical deterioration and take the appropriate actions.

Safe Steps information and resources for COVID-19 tracking and coordinating care

Health and care professionals from Greater Manchester have worked with tech company Safe Steps to develop a UK-first digital innovation that will help care homes to track COVID-19 and coordinate care with GP practices, social care and hospitals to optimally support vulnerable residents.

The tool will allow care homes staff to input information about a residents’ COVID-19 related symptoms into a tracker, which can be shared directly with the resident’s GP and NHS community response team to ensure that a swift assessment and response can be put in place.

It also means that the NHS can more closely monitor how care homes are doing across the locality more easily thanks to a visual dashboard that displays the information at an aggregate level.

Further developments are also planned as part of the wider digital care homes package, such as enabling staff to monitor and flag signs of deterioration early on, based on the national RESTORE2TM clinical assessment (Recognise early soft-signs, Take observations, Respond, Escalate.)

RESTORE2 information and resources for care and nursing homes


RESTORE2 stands for: Recognise early soft-signs, Take observations, Respond, Escalate.

RESTORE2 uses three tools (Soft Signs, NEWS2 and SBARD) which when used in unison create a robust process for early identification of the signs of deterioration and appropriate and timely escalating (if required).

It is a tool that has been designed to help care and nursing home professionals to:

  • 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.

RESTORE2 makes National Early Warning Scores (NEWS2) accessible to care and nursing homes through the use of soft signs of deterioration. It includes a communication and escalation protocol developed with GPs, ambulance providers and deterioration experts specifically for care and nursing homes to support them to raise concerns and a structured communication tool (SBARD) to ensure residents get the support they need.

As a recognised tool, RESTORE2 is a useful resource at this time as it can help care professionals spot deterioration from COVID-19 related illness or recognise non-COVID-19 related deterioration and act to decrease avoidable hospital admissions.

RESTORE2 has been also recommended for care and nursing homes by the British Geriatrics Society in their guidance: COVID-19: Managing the COVID-19 pandemic in care homes (BGS 25/3/2020).

RESTORE2 was originally created by NHS West Hampshire Clinical Commissioning Group (CCG) and resources can be downloaded from West Hampshire CCG’s website.


Deterioration Videos

Health Education England have produced a series of short training films on deterioration. They are all freely available in one YouTube Playlist and cover a variety of topics including soft signs of deterioration, calculating and recording a NEWS score and treatment escalation plans. Find out more about the videos here.

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