We are seeking an experienced and commercially astute Head of Operations to lead performance across our multi-site domiciliary and complex care services in the North West.This is a senior leadership role with direct line management of all Registered Managers. You will be responsible for strengthening governance, driving workforce stability, improving operational performance, and ensuring sustainable growth - while protecting our nurse-led care model.This is not a maintenance role. We are looking for a leader who can bring structure, accountability, and measurable improvement across multiple regulated services.Key ResponsibilitiesProvide direct leadership to all Registered ManagersDrive KPIs across compliance, staffing stability, retention, and financial performanceStrengthen Regulation 17 (Good Governance) frameworksLead CQC inspection readiness and quality assurance programmesImprove rota governance and workforce planningOwn operational performance against budget and marginAct as senior escalation point for operational riskMaintain relationships with ICBs, commissioners, and case managersYou will work in structured partnership with the Nurse Director (clinical governance) and Head of Finance (financial oversight), with clear operational accountability.Essential ExperienceSenior operational leadership within domiciliary, complex care, or regulated health/social careExperience managing multiple services or senior managersStrong working knowledge of CQC regulations and governan