The only thing missing is a safety chain that goes thru a wheel hand hold and around a frame member. There is no lift system and the spare is very difficult to drop, much less put back, in that position. I did it once, with my son's help, and decided it would
never happen again...
I have heard of folks installing a lift system from a pick up / SUV to make it easier. Instead of trying that my wife bought me a
Roadmaster Spare Tire Carrier that goes in the hitch receiver. If they are not towing a TOAD there are other less expensive hitch mounted tire carriers available as well. Check out etrailer.com for some options as well as ebay....
They also need a hydraulic jack, I suggest at least 10 Ton rated, and a lug wrench. A old school hub cap tool, used to remove and reinstall the "wheel simulators, is also very handy to have... None of these were items were supplied with our Sunseeker....
I ended up adding a air compressor and air wrench as the 140ft lbs of torque on the Ford E-450 lug nuts can be a bear to break loose with a standard lug wrench...