McCauley Lodge

green flowers

McCauley Lodge

Service Provider: Island Community Mental Health
Funder: Island Health


McCauley Lodge is a 30 resident, licensed care facility helping adults with serious and persistent mental health diagnoses. The lodge employs a multidisciplinary team of over 30 staff, including nursing, mental health workers, cooking, and cleaning staff. McCauley Lodge is licensed under the Community Care and Assisted Living Act. See inspection reports about this facility.


Access and Referral Information:

Visit this webpage for access and referral information for McCauley Lodge.


Program Criteria:

• The person must be 36 years or older and require 24-hour care.
• Primary care need is related to a diagnosis of severe and persistent mental health illness.
• Alcohol or recreational drug use is discouraged and substances are not permitted on site.
• Residents must be willing to actively participate in Rehabilitation and Recovery plans.


Building features and description:

The building is located in Esquimalt and has 30 units located on three floors. There are 10 units on each floor. There is also a basement and elevator access to each level in the building.  All bedrooms are private and each floor has four shared resident bathrooms plus a staff bathroom.  One of those bathrooms has a wheelchair accessible shower.

The bedrooms have an average closet with a locking safe, a bed, a stand up dresser, a desk, and bedside table. There is no storage space. Residents can bring their own televisions, computers, or small items. Bringing personal pillows and/or linens is welcome. Installing a private telephone line and/or having a cell phone is allowed.

Each floor has a dining area and living room which are combined and act as common areas for residents. There is an activity room for residents to do art, play games, and read. The main laundry room is in the basement and each floor has a resident laundry room for their personal laundry. There is a garden and a small yard for residents. There is a telephone line for local calling.



• Two or three mental health workers 24/7
• One LPN 16 hours per day, seven days per week
• One to two cooks seven days per week
• One to two cleaners  seven days per week
• One Director of Licensed Care (Registered Nurse) Monday to Friday  hours will be variable)
• One Manager of Licensed Care (Licensed Practical Nurse) Tuesday to Friday 8:30 a.m. to 4:30 p.m.
• On-call staffing after 5:00 p.m. weekdays and 24 hrs per day on weekends provided by a manager through Island Community Mental Health.


Financial Support:

Many individuals 64 years and under receive Persons with Disability (PWD) income from the BC Ministry of Social Development. The program per diem (daily fee) will be arranged to be paid directly by The Ministry. Eligible clients 65 years or older are in receipt of federal benefits e.g. Old Age Security (OAS) and Guaranteed Income Supplements (GIS) and are responsible to make the per diem payments.

Clients are assisted to manage and administer their finances at the request of the client or their legal representative (e.g. Power of Attorney, Public Guardian and Trustee).

Financial support for medical equipment and supplies is guided by Disability benefits, Pharmacare coverage, and Island Health policies.


Length of stay:

Length of stay is dependent on resident needs.  If care needs or individual behavior exceed what one staff member can manage safely, a referral to a higher level of care may be necessary. Likewise, residents may be referred to a lower level of care if they no longer need intensive 24-hour staff support.


Every floor is fully accessible including the bathroom. Every resident floor has a shower accessible by “roll-in” and there are grab bars with a high toilet.

Bus Route/Transit

Assistance is provided to obtain a bus pass or HandyDART services. The nurse supports transportation to medical appointments.

Visitors and Caregivers

No overnight visitors. Residents can inform staff when a visitor is expected. Visitors must remain in common areas with the exception of family who may visit in resident rooms. 

Spiritual Care

There is no religious service provided in the home. Seasonal holidays are celebrated by decorating and having special meals. Individual lifestyle choices such as social, cultural and spiritual beliefs will be respected and supported. Staff support residents to engage in offsite spiritual activities by assisting to organize transportation and scheduling.

Pet Policy

No pets are permitted.

Smoking Policy

No smoking or vaping indoors. Smoking is permitted outside, in the designated smoking gazebo only. Recreational cannabis use is not permitted.

Safety/Security Features

Monitored entry, staff office is near the front door and doors are locked at night.  No security cameras. Staff are trained in the event of an earthquake, fire, or disaster. Snow removal and salting is arranged by the maintenance department at head office. The house is equipped with smoke detectors and sprinklers. Fire drills are held monthly.

Any Other Amenities

Mental Health supports:

Mental health status monitoring, Psycho Social Rehabilitation activity groups, goal setting, skill building, individualized care planning.

Social supports: 

Individuals must have access to a Psychiatrist, general practitioner GP or Nurse Practitioner (NP), and will be referred to medical services in the community. This includes optometry, physiotherapy, dental care, podiatry. Staff help with referrals, appointments and transportation.

Recovery programming on site:

Psychosocial-Rehabilitation model. Independent living skill-building, goal setting. Clients are encouraged to find volunteer and/or gainful employee. Recreational activities include, Bingo nights, Movie and game nights, Ping pong, Gardening groups, Arts and crafts, Tai Chi/Chi Gong, Meditation, SAIL exercises to promote mobility, Falls Prevention workshops, and Music Group.

Nursing/medical supports:

RN/LPN on-site 7am – 11pm, but time off may be replaced by MHW if alternate nurse not available. During these times an on call manager is available for assistance and consultation.

Medication supports:

Medication support by onsite nurse and MHW’s.  Injectable medications are administered by the nurse.

Personal hygiene:

Residents must be able to transfer and toilet themselves independently. Staff can provide some light personal care assistance for scheduled activities such as shower standby, hair wash, etc.


Three meals a day, and two snacks are provided.

Education, prompting, support, and daily room checks are provided by onsite staff.


Education, prompting, support, and daily checks are provided by onsite staff. There is no extra charge for laundry.