Tameside Hospital is to stay in special measures for a further six months after inspectors rated the hospital as 'inadequate'.
Inspectors found critical care, surgery and staffing levels were still areas of concern.
The trust says it has made improvements and taken on an extra 150 nurses.
John Goodenough, who is a Chief Nurse at the hospital, told ITV News:
"I would say that the hospital has absolutely transformed. I think the culture, the open visible leadership from the top is phenomenal. I think the pace of change is incredible, and I think our patients and staff are telling us that now."
England's Chief Inspector of Hospitals has recommended that Tameside Hospital NHS Foundation Trust should remain in special measures, following his first inspection of the quality of its services.
The trust had been placed into special measures by Sir Bruce Keogh in July last year after concerns were raised about mortality rates, emergency care, staffing levels, patient experience and leadership.
While health watchdog the CQC found that some improvements had been made at the trust since then, there has not yet been enough progress to recommend that the trust leave special measures at this time.