Between ten and fifty people, an office usually runs on Microsoft 365 or Google Workspace, a firewall or router that came from the internet provider, one switch, Wi-Fi from a box somebody bought, a copier that scans to email, laptops bought one at a time as people joined, and one application the business cannot work without: the accounting package, the practice management system, the estimating tool. Sometimes there is a server or a network drive in a cupboard, and nobody is sure what is on it.
Nobody owns any of it. The office manager resets passwords because they are the one who is always in. The owner renews the domain name when the warning email happens to be seen. The person who set up the Wi-Fi left two years ago. None of that is a failing; at this size a full-time IT person is a salary the business does not have a full-time job for. What the office needs is for the list below to be done, and then for somebody to answer when it breaks.
Under about ten people, with everything in Microsoft 365 and no server, the honest shape is a couple of projects and a number that answers, not a monthly arrangement. Above fifty, the office starts to look like the co-managed estates on our Enterprise IT services page, with an IT generalist of its own and a provider taking the layers underneath. The list is the same either way; what changes is how much of it already exists.