Design is what visitors notice, but the parts they never see decide whether a Winston-Salem site brings in work. Pages need to render quickly on a mid range phone over a mobile connection along Salem Parkway, images must be compressed, and scripts from old widgets trimmed away.
Search engines also need clear signals: one page per core service, honest area pages for the towns you truly serve, consistent business details that match your Google Business Profile, and structured data describing your company. Then comes measurement. Form submissions, calls from the site and booking clicks get tracked as conversions in Google Analytics, so a redesign can be judged by enquiries rather than by opinion.
Accessibility belongs on the same list. Readable type, labeled form fields, keyboard navigation and descriptive image text help older visitors and people using assistive tools, and they reduce the risk of complaints about an unusable site.