Ratcheting blocks are extremely usefull for hand held sheets... in situations where the sheet is rarely cleated... such as on racing dinghies, sport boats and catamarans. If you cleat your mainsheet all the time, then you will rarely have the need for the ratchet feature. Every ratcheting block I've seen is equipped with a switch to disengage the ratchet, because there are many times you will not want to use it... Sailing downwind is a good example... where you want to feel the pressure on the sail.
That said....... most pre built mainsheet tackle assemblies include a ratcheting maiin block with a cam cleat. In cases where a self tailing winch is used to control the sheet you would, of course have no use for the cam cleat, but these are decisions that are individual to the boat and it's owner.
Get the ratcheting block.