Technically, the way this works is you view your site in dev mode and start editing it. In your agent, you can run /studio which then polls (or uses Claude Channels) an MCP server. Changes are streamed as JSON via the MCP, along with some viewport and URL information, and the skill has some instructions on how best to implement them.
It contains a lot of the tools you'd expect from a visual editing tool, like text editing, styles and an animation timeline editor.