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Preheat your oven to 400°F (200°C) and line a large baking sheet with parchment paper or a silicone baking mat.
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In a large mixing bowl, whisk together the flour, sugar, baking powder, and salt until well combined.
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Add the cold, cubed butter to the flour mixture. Use a pastry cutter or two forks to cut the butter into the flour until the mixture resembles coarse crumbs with some pea-sized chunks of butter remaining.
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Gently toss the blueberries into the flour mixture so they are lightly coated.
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In a separate small bowl, whisk together the heavy cream, egg, and vanilla extract.
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Pour the wet ingredients into the dry ingredients. Use a spatula to gently fold the mixture together just until a shaggy dough forms. Be careful not to overwork the dough or crush the berries.
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Turn the dough out onto a lightly floured surface. Gently press it together and knead it 2 or 3 times just until it holds its shape.
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Pat the dough into a disc about 7 inches wide and 1 inch thick.
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Using a sharp knife or a bench scraper, cut the disc into 8 equal wedges.
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Place the wedges onto the prepared baking sheet, leaving about 2 inches of space between each scone.
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Brush the tops of the scones with the extra tablespoon of heavy cream and sprinkle with coarse sugar if desired.
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Bake for 18 to 22 minutes, or until the tops and edges are lightly golden brown.
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Let the scones cool on the baking sheet for 5 minutes before transferring them to a wire rack to cool completely.