I have made several of these type quilts for a friend who sleeps in an unheated bedroom. I sew 4-inch squares together until I get a top the right size. I buy a blanket to find the size top to piece. Then I buy flannel to back it with. I layer it and pin into my quilting frame to tack it at the corners. Then I take it out to bind it. It is so heavy I can hardly manipulate it to bind it. If the backing is large enough, I can bring it to the top and stitch it down. She loves these and asks me to keep making them so she won't run out of them. I even made a special one for her dog.
He
l
o
ve
d
I
t
.