SW Care Home Network Awards Nomination Form
Nominate a Care Home, a Carer, a team, or a collaborative to show your appreciation and reward them for their achievements around improving the Safety Culture or Health & Wellbeing of staff and residents in Care Homes.

How to make a nomination

Please complete this short nomination form with the option to submit a 1–2-minute video for each nomination (or a selection of your nominated care home/staff).
We are looking for either a video with a story/case study or even an elevator pitch based on the text submitted in this form.
 
Ideally, we would like a little more explanation than in the nomination form (audio or video) to show at our Network event if you are a finalist (if there is time).

Your video can be recorded on a smartphone or iPad (and doesn't have to be professionally done - in fact we prefer it to be a quick recording like you would do on social media).
What to do next

1. Complete this form including reasons for your nomination in 250 words.
2. Create your 1–2-minute video /audio or select your photos.

o This doesn't have to be professionally done - in fact we prefer it to be a quick recording like you would do on social media

o If you can provide us with an audio file of your nomination text in your own voice, we can edit the photo/videos to include your voice over the top. If you can't don't worry we can sort this if you are a finalist.

3. Provide a link to any YouTube / Vimeo or websites to support your application and email video clips to carehomes@swahsn.com.

If you are unable to provide a video or photos, don't worry you can still nominate using this form without submitting a video.

If you are shortlisted as a finalist, we will notify you in advance of the event and you will have the chance to deliver a live 1-minute elevator pitch at the Network Event on camera instead.
 
NB: We are happy to help you with this section of the nomination should you be shortlisted based upon your 250 words in your nomination.

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Email *
Name of Nominator (that's you) *
Name of Nominee(s) (the individual, team or care home you are nominating) *
Your Email *
Care Home & Postcode *
The Care Home Safety Culture Award
In recognition of a Care Home individual or team, that have created a Safety Culture through Managing Deterioration or Medicine Safety from Sept 6th 2020- Sept 5th 2021

Closing date for nominations: Tuesday 31st August 2021 at 12noon
Award presentation: Care Home Network - Tuesday 14th September 2021 13.00-15.00
                                                                                                                                                                             
Examples might include:                                                                                                                                                                    
Improving safety for all, reducing fear, managing risks, making a psychological safe space for staff and families, developing a safety champion, providing peer-to-peer support, developing team work across the Care Home, protecting each other, effective infection control procedures, end of life compassion, leading by example, keeping spirits high, developing new activities for residents to stay happy and engaged in the care home.
2. The Care Home Health & Wellbeing Award
                                                                     
In recognition of a Care Home, individual or team that have made an impact in managing and improving health and wellbeing from Sept 6th 2020- Sept 5th 2021                                                                                                                                                                                                

Examples may include:                                                                                                                                                                    
Setting up health and well being sessions, going the extra mile to support each other, Making a significant difference to the health and wellbeing of the residents, families, staff and/or others throughout the Pandemic and beyond. Raising awareness of improving the health and wellbeing, providing mental health support, physical activity interventions or challenges.
What Category are you nominating for? *
Please describe the achievements and reasons for your nomination below (250 words) *
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