Very nice lil Riad in a quiet part of Medina, the hotel is a bit tricky to find on the first try but not too hard once you find it. Maybe couple signs on the streets would be good. The Riad is very clean with only few rooms so it's not too crowded. Our room was in first floor and was qo quiet at night. The toilet has a weird window to the courtyard, some might find this uncomfortable. The roof was still in "winter" shape and wasnt in use. Breakfast was decent with bread, yogurt, jam/marmelade, tee, coffee and juice. WiFi didnt work in our room, very very thick walls. But in the living area it was OK.
Tips to find the hotel if you read this!
From the main street, there is ad for ISIS Spa on the street you must turn to, forward, right, left, forward till there is a small kiosk in a T section take left and then left. The riad is door on your right about middle of the street with white frame around the door and brass sign telling "Riad Al Karama"
Hope this helps you if your GPS doesnt track you all the way ;)