Stayed one week at the Alto hotel.
The building is fairly old, but the room seemed recently renovated with all the comfort needed; good bed, small kitchen, nice bathroom.
The room is kept very clean, the towels etc good quality and condition.
I was in a room facing back, so did not have much of a view, but it was very quiet.
The hotel location is good, only a couple of minutes walk from the Southern Cross station in the Central Business District, with access to trams just outside the door and a 15-20 minute walk to Federation Square and the main tourist streets around Elisabeth and Swanston.
On the downside, I cannot recommend the breakfast restaurant which has limited choice and does not have the same high standard as the rooms. I went elsewhere for breakfast most of the time.