I know you've asked someone else for this answer, but as it's something I think I can help with, I hope you both don't mind my answering it. If I'm trending on toes please let me know so I don't make the same mistake in future - Cheers Christina
Yes you need keywords, and the closer to the beginning of the title the better.
But unless the sentence of the title makes sense to the user then you are likely to have a lower CTR.
Think about your keyword and what the page is about.
As an example my title tag would simple say 'Web Design Company - DR Adept'.