My husband's aunt made one almost identical to this, but she did the chicken scratch only on the gingham. She then added batting and backing to each square and quilted, by hand, around the star. The back had to be finished sort of like a quilt-as-you-go. As she got older, her stitches got larger and larger. I ended up finishing it for her, bought a white lacy bed skirt, and made matching gingham pillow cases. It added a personol touch to her nursing home room!