Do not sand the ceiling down. Unless it has been tested for asbestos and is safe.
Taping a joint can help - use a ceiling repair tape, but the tape may not want to stick to the historical mix of paint and dirt.
Washing down will help and is safe, a solvent for emulsion is iso propanol (strong mix with water, avoid sources of combustion and ventilate well) which will dissolve the top surface of the paint and take the layer of old filth with it and give any filler or tape a chance to bond. Propanol is also a good trick to get marks off painted walls, caution - it also dissolves the dye in blue paper towel.