Normally you'd flush the complete system with water.
You can't see if there's any caked contamination present inside the block, that's only be seen by removing the cylinder head.
This picture shows caked silicate contamination of my Cleon engine, it's that beige stuff and very hard to remove....
As I wrote, you can't tell if it's in the engine, but you can assume it's there.
Do not use aggressive modern descalers as it will dissolve the paper liners of the cylinder bushes and then you have a real problem!!
On some French forums it's written that they use cleaning or white vinegar to flush and descale the complete system, first drain all the coollant, and fill the system with vinegar solution, run the engine untill it's completely warm, shut it of and leave it soak for a day, then drain the vinegar solution, flush everything with (deminiralized) water and at last fill the system with new antifreeze.
I've never done this but maybe there is another member with this experience?