In addition you can add
profile.setPreference("browser.download.panel.shown",false);
To remove the downloaded file list that gets shown by default and covers up part of the web page.
My total settings are:
DesiredCapabilities dc = DesiredCapabilities.firefox();
dc.merge(capabillities);
FirefoxProfile profile = new FirefoxProfile();
profile.setAcceptUntrustedCertificates(true);
profile.setPreference("browser.download.folderList", 4);
profile.setPreference("browser.download.dir", TestConstants.downloadDir.getAbsolutePath());
profile.setPreference("browser.download.manager.alertOnEXEOpen", false);
profile.setPreference("browser.helperApps.neverAsk.saveToDisk", "application/msword, application/csv, application/ris, text/csv, data:image/png, image/png, application/pdf, text/html, text/plain, application/zip, application/x-zip, application/x-zip-compressed, application/download, application/octet-stream");
profile.setPreference("browser.download.manager.showWhenStarting", false);
profile.setPreference("browser.download.manager.focusWhenStarting", false);
profile.setPreference("browser.download.useDownloadDir", true);
profile.setPreference("browser.helperApps.alwaysAsk.force", false);
profile.setPreference("browser.download.manager.alertOnEXEOpen", false);
profile.setPreference("browser.download.manager.closeWhenDone", true);
profile.setPreference("browser.download.manager.showAlertOnComplete", false);
profile.setPreference("browser.download.manager.useWindow", false);
profile.setPreference("browser.download.panel.shown",false);
dc.setCapability(FirefoxDriver.PROFILE, profile);
this.driver = new FirefoxDriver(dc);