Pohlen Hospital Trust Board

Profile & contact details

Premises details
Premises namePohlen Hospital Trust Board
Address 56 Rawhiti Avenue Matamata 3400
Total beds29
Service typesMaternity, Medical, Rest home care, Geriatric
Certification/licence details
Certification/licence namePohlen Hospital Trust Board - Pohlen Hospital Trust Board
Current auditorThe DAA Group Limited
End date of current certificate/licence14 July 2026
Certification period36 months
Provider details
Provider namePohlen Hospital Trust Board
Street address 56 Rawhiti Avenue Matamata 3400
Post addressPO Box 239 Matamata 3440

Progress on issues from the last audit

What’s on this page?

This rest home has been audited against the Health and Disability Services Standards. During the last audit, the auditors identified some areas for improvement.

Issues from their last audit are listed in the corrective actions table below, along with the action required to fix the issue, its risk level, and whether or not the issue has been reported as fixed.

A guide to the table is available below.

Details of corrective actions

Date of last audit: 23 May 2023

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes.Pohlen Hospital has not yet started to work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. Work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes. PA LowReporting Complete23/04/2024
My service provider shall focus on achieving equity and efficient provision of health and disability services for Pacific peoples.Pohlen Hospital is yet to focus on achieving equity and efficient provision of health and disability services for Pacific peoples. Focus on achieving equity and efficient provision of health and disability services for Pacific peoples. PA LowReporting Complete23/04/2024
Health care and support workers shall receive an orientation and induction programme that covers the essential components of the service provided.Contracted core registered midwives are not completing a formal orientation to Pohlen Hospital. Ensure all staff are provided with an orientation programme relevant to their role and appropriate records are available to demonstrate completion. PA LowReporting Complete23/04/2024
The frequency and extent of monitoring of people during restraint shall be determined by a registered health professional and implemented according to this determination.Records are not consistently available to detail when restraint use commenced and stopped and that monitoring of the resident with restraint in use is occurring at the frequency required in the resident's care plan. Ensure the time restraint commences and stops is consistently documented and that the resident is monitored at the frequency required in the care plans. PA LowReporting Complete23/04/2024
Service providers shall follow the National Adverse Event Reporting Policy for internal and external reporting (where required) to reduce preventable harm by supporting systems learnings.Not all adverse events are being reported and followed up via the incident reporting process. Ensure all adverse events are reported and followed up via the adverse event/incident reporting system. PA ModerateReporting Complete23/04/2024

Guide to table

Outcome required

The outcome required by the Health and Disability Services Standards.

Found at audit

The issue that was found when the rest home was audited.

Action required

The action necessary to fix the issue, as decided by the auditor.

Risk level

Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is.

The outcome is partially attained when:

  • there is evidence that the rest home has the appropriate process in place, but not the required documentation
  • when the rest home has the required documentation, but is unable to show that the process is being implemented.

The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place.

The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be.

The risk levels are:

  • negligible – this issue requires no additional action or planning.
  • low – this issue requires a negotiated plan in order to fix the issue within a specified and agreed time frame, such as one year.
  • moderate – this issue requires a negotiated plan in order to fix the issue within a specific and agreed time frame, such as six months.
  • high – this issue requires a negotiated plan in order to fix the issue within one month or as agreed between the service and auditor.
  • critical – This issue requires immediate corrective action in order to fix the identified issue including documentation and sign off by the auditor within 24 hours to ensure consumer safety.

The risk level may be downgraded once the rest home reports the issue is fixed.

Action status

Whether the necessary action is still in progress or if it is complete, as reported by the rest home to the relevant district health board.

Date action reported complete

The date that the district health board was told the issue was fixed.

Audit reports

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

Full audit reports are provided for audits processed and approved after 29 August 2013.  Note that the format for the full audit reports was streamlined from 16 December 2014.  Full audit reports between 29 August 2013 and 16 December 2014 are therefore in a different format. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

Prior to 29 August 2013, only audit summaries are available.

Both the recent full audit reports and previous audit summaries include:

  • an overview of the rest home’s performance, and
  • coloured indicators showing how well the rest home performed against the different aspects of the Ngā Paerewa Health and Disability Services Standard.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Back to top