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From nurse to care home manager: My leadership journey in social care

Georgiana Ionescu 17 Jun 2026

As we celebrate Care Home Open Week, Georgiana reflects on her journey to managing a large care home and leading a dedicated team committed to providing outstanding care.

The tree-filled garden of Greenhill Manor Care Home

When people think about nursing careers, they often picture hospitals, emergency departments or community settings. Yet care homes are home to some of the most complex, rewarding and person-centred nursing roles available. My own journey has shown me that social care offers incredible opportunities for professional growth, leadership and making a meaningful difference every single day.

Looking back, I can see how every stage of my nursing career helped shape the leader I am today. The transition from bedside care to senior leadership was not always straightforward, but it has been one of the most rewarding experiences of my professional life.

Like many people working in social care, my nursing career began with a passion for caring for people and making a difference during some of the most important moments of their lives. As a registered nurse, I developed clinical skills, critical thinking, and the ability to build trusting relationships with residents, families, and colleagues.

Working in a care home environment gave me a unique perspective on nursing. Unlike many health care settings, care homes allow nursing staff to build long-term relationships with residents and truly understand what matters most to them. I quickly realised that excellent care is about far more than meeting clinical needs – it’s about preserving dignity, promoting independence and helping people live meaningful lives.

As my confidence grew, I found myself increasingly interested in supporting colleagues, improving services and contributing to wider organisational goals. These experiences sparked my interest in leadership and ultimately led me towards management.

At the time, I couldn’t have imagined that one day I would be responsible for managing a large care home, overseeing services, supporting team development and helping to shape the future of care delivery. But every role along the way prepared me for the next step.

Embracing opportunities

One piece of advice I often share with colleagues is simple: say yes to opportunities.

Throughout my career, I have sought opportunities to learn, develop new skills and take on additional responsibilities. Sometimes these opportunities have felt daunting. Stepping outside your comfort zone can be uncomfortable, particularly when balancing work, family life and professional development. However, growth rarely happens when we remain comfortable.

Whether it was undertaking further education, leading projects, mentoring colleagues or becoming involved in quality improvement initiatives, every experience helped build my confidence and leadership skills. Leadership is not something that happens overnight. It develops gradually through experience, reflection and a willingness to keep learning.

What care home leadership looks like

When people hear the title "care home manager", they often think primarily about operational responsibilities. Of course, there are budgets, regulations, audits, staffing challenges and countless daily decisions. However, for me, leadership is fundamentally about people.

Every day I have the privilege of supporting:

  • residents with diverse and complex care needs
  • families who place enormous trust in our team
  • nursing and care teams who work tirelessly to provide compassionate care
  • colleagues who are developing their own careers and aspirations.

One of the most rewarding aspects of my role is helping others grow professionally. Seeing a care assistant develop into a senior carer, a nurse gain confidence in leadership, or a team member discover their potential is incredibly fulfilling.

Strong care homes are built on strong teams, and strong teams are built through support, encouragement and shared purpose.

Lessons I've learned

My journey has taught me many lessons, but a few particularly stand out.

1. Never stop learning: health and social care are constantly evolving. Continuous professional development is essential, not only for maintaining standards but for providing the best possible outcomes for residents.
2. Relationships matter: the relationships we build with residents, families and colleagues are at the heart of everything we do. Technical skills are important, but empathy and communication are equally vital.
3. Leadership starts with example: people are more likely to follow what they see than what they are told. Demonstrating professionalism, accountability and compassion creates a culture that others want to be part of.
4. Resilience is essential: the social care sector faces significant challenges, from workforce pressures to increasing complexity of care needs. Resilience helps us navigate difficult periods while continuing to provide safe, effective care.

Collage of photos of Greenhill Manor Care Home: the nail salon, the games room, the cafe and the garden

Why care home nursing matters

One of my greatest passions is advocating for the value of care home nursing.

Care homes are often misunderstood. In reality, they’re vibrant communities where highly skilled professionals deliver complex clinical care while supporting residents to live meaningful and fulfilling lives.

Our residents often have multiple long-term conditions, frailty, dementia or palliative care needs. Supporting them requires clinical expertise, critical thinking and exceptional communication skills.
What makes care home nursing unique is the opportunity to develop long-term relationships with residents and their families. We’re not simply caring for a condition; we’re supporting a person throughout an important stage of their life journey. That privilege should never be underestimated.

A message for future leaders

Believe in yourself. You do not need to have all the answers before pursuing leadership opportunities. (None of us do!)

Seek mentors, learn from colleagues, ask questions, be open to feedback, and – most importantly – do not underestimate the value of your own experiences. Every challenge you overcome contributes to your development as a professional and as a leader.

Leadership isn’t about position or title. It’s about influence, integrity and creating an environment where others can thrive.

Looking ahead

As we celebrate Care Home Open Week, I hope we continue to shine a light on the incredible work happening across care homes in Wales and beyond.

Although my role has changed significantly over the years, I still see myself as a nurse first, and the values, clinical knowledge and compassion I gained continue to shape my leadership and commitment to high quality care. Social care offers rewarding careers, opportunities for leadership, and the chance to make a lasting difference, and I’m proud of the journey that brought me here, the team I work alongside and a profession that places compassion at its heart.

My journey from nurse to care home manager at  Hallmark Greenhill Manor has taught me that leadership is not about moving away from care but about creating the conditions for excellent care to flourish by supporting teams, championing residents and driving continuous improvement. Every career journey begins with a single step – and you never know where that step might lead.

Headshot of Georgiana Ionescu

Georgiana Ionescu

Care Home Manager

Georgiana is an experienced care home leader with a passion for person-centred care, workforce development, and nursing leadership within the social care sector. Having progressed through a variety of care roles during her career, she now manages Hallmark Greenhill Manor, a large care home in Merthyr Tydfill, and is committed to supporting both residents and team to thrive. Georgiana is an advocate for recognising the vital contribution of care home nursing and encouraging future leaders within the profession.

Page last updated - 17/06/2026