Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)

Luther Court

Facility Type: Residential Care - 400

Non-Visit Follow-up

May 24, 2022
Score & Grade: 0 Grade:
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.
Code
Category/Description
3020 - RCR 85(1)(d)
Description: A licensee must do all of the following: ensure that policies are implemented by employees.
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3020 - RCR 85(1)(d)
Description: A licensee must do all of the following: ensure that policies are implemented by employees.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensing was informed by the leadership team that the nursing staff had reviewed the anaphylaxis policy and all staff had been updated on the procedures for allergens. Due to several allergies the person in care now receives their meal separately from the food cart.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - RCR 82
Description: A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care’s care plan.
Corrective Actions Required:
Corrective Actions Taken By Licensee:
Actions Required By Licensing:
To Be Corrected By:
Observations:
3070 - RCR 82
Description: A licensee must ensure that the care and supervision of a person in care is consistent with the terms and conditions of the person in care’s care plan.
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensee informed Licensing that the staff that served the meal was new. This staff member had reviewed the protocols and policies related to serving food and checking for allergens.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: