That's a good idle temperature. Unfortunately, you have to test it under load to find out if you can use it as a fanless solution.
Run Prime95 (two instances for HT) and if the temp gets up to 60c and looks like it's still rising, stop the test and shut down your machine. Leave it off for a while and let it cool down. Then add a fan.
The problem with fanless heatsinks is that they don't dissipate heat as quickly. You know when you have a heatsink with fan, and when you stop whatever's putting the CPU under load is stopped, and the temps automatically go down? A fanless heatsink will stay around the same temp for a longer period of time (and will probably keep increasing). They need convection to remove the large amounts of heat that you'll create under load.
Now, if you have a lot of airflow through your case (and I mean a LOT) then you might not have to worry about it. But what's the point of adding 4 fans to your case when you can just add one to your heatsink?
What you should do is attach a fan to the heatsink, just leave it on very low speed for normal applications, then turn it up for gaming/superpi/whatevahs.
-z