The church was extensively restored in 1865 but contains medieval features, including a 12thc. W tower. Romanesque sculpture is found in the three windows of the tower and on some loose fragments used as plant pots near the porch.

According to Heming, Tenbury was held by the monks of Worcester until the Danish invasions. In 1086 one priest is recorded at Tenbury. It was held by Osbern Fitz Richard, who had inherited it from his father, Richard Scrob; the Clifford family subsequently became tenants. The abbey of St Mary, Cormeilles, founded by William Fitz Osbern, held half a hide at Tenbury. Until 1304, the descent of the overlordship followed that of Wychbold in Dodderhill.

The sculpture in the W tower bell openings could not be examined closely. Pevsner records a trumpet capital from a respond and smaller waterleaf capitals outside the church, but these now appear to be missing, unless the waterleaf capitals are in fact the fragments here identified as trumpet capitals.